HomeMy WebLinkAbout4236 Mcmurry Ave - Permits/Single Family New - 01/09/1984city
of Fort Collins
BUILDING INSPECTION DIVISION
APPLICATION FOR BUILDING PERMIT AND CERTIFICATE OF OCCUPANCY
Applicant complete this part of form only.
Press firmly using ball point pen.
Job Address 4236 Mi Avenue
Name Medena Flotaee, Inc.
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Mail Address 3b65 P K Pariv v -0209
3
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Fort Collins. CO 80525
Phone #226-5533
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Name Kurt Smees[er
Address (Satre as above
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FARM NO. "7314-13-028
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License No. D_28
Phone "26-5531
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Lot 2A
I Block C?5
Filing Number 3
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Subdivision Golden Meadows
PUD
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DESCRIPTION OF WORK
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Stock Options
Plan No. - Codes+'
Est. Total Cost SGq 200 it)
(including labor, material, profit)
z I hereby acknowledge that I have read this application and
state that the above is correct and agree to comply with all city
ordinances and state laws regulating building construction.
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Office: Canary - Sales Tax: Pink - Applicant Tag - Bldg. Insp.
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Off -Street Parking
(No. Cars)
Interior Lot
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Corner Lot
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❑
Reversed Corner Lot ❑
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ZBACase#
Date
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Case #
Date
Building Insp. Approval
by
date
Permit No:�
Dale
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