HomeMy WebLinkAbout531 E Laurel St - Permits/Reroof - 01/23/1987City 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
Name
Mail Address 5� a1v AL_
o
4woo,of"
Phone 1112— 1PI
Name
0
Address 2 —
U
License No.
Phone 2 2
0
n
Lot
Block
Filing Number
d
Subdivision
A
PUD
is is
Parcel #
DESCRIPTION OF WORK
10/
ell
Stock Options
Plan No. Codes
Est. Total Cost 17f fff
(including tabor, material, profit)
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.
t�
signed date
Distribution: Original - Applicant: Blue - Office: Canary - Sales Tax: Pm
- CLASS OF WORK -
New
❑
Alterati Addition Demolish
❑ ❑
Move
❑
Plbg.
❑
ech. Elec. Struct.
❑ ❑ ❑
Fire Prot.
❑
Off -Street Parking
(No. Cars)
Interior Lot ❑
Corner Lot ❑
Reversed Corner Lot ❑ '
PPMTC 70 S
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