HomeMy WebLinkAbout511 Mathews St - Permits/Reroof - 09/27/1979CITY OF FORT COLLINS
APPLICATION FOR BUILDING PERMIT —SHORT FORM
Building Address / f
Date of Application r 19
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Name / /f4
3
Mail Address �y i , o ,
O
City j/, S Tel. No.
o
Name
R
Address
City
U
City License No. Tel. No.
Occupancy Group A, B, C, D, E, F, G,
H, 1, J Division 1, 2, 3, 4
Use Zone —RE, RL, FILM, RM, RH, RP, RMP
ML, MM, BP, BL, HB, BG, C, IL, IG
Fire Zone 1, 2,3
PUD
Signature of own
By Contractor
R d .,,
Class of Work
Plumbing
_Roofing X
Heating
_Fencing —
Electric
_Sprink. _
Gas Pipe
_Storm W_
Sign
_Other
Total Value Labor & Mat.
Description of Work
�
VALUE
t`S OD
Int. lot —
Corner lot
Rev, C. L
Street
Date issued
Bldg. fee
Other
Total /S - 00
Approved for Chief B.I.
Zoning
B.I. !�/�