HomeMy WebLinkAbout613 Boltz Dr - Permits/Reroof - 11/29/1979CITY OF FORT COLLINS
APPLICATION FOR BUILDING PERMIT —SHORT FORM
Building Address 613 z
Date of Application 19
.
Name
m
3
Mail Address
O
City C Tel. No.
o
Name
m
Address j
City _'C'
U
City License No. 5-/03 Tel,
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 owner
By Contractor /2aAt)ah0 Ll (t( 2Z
Class of Work
Plumbing
_Roofing
Heating ._Fencing
—
Electric
_Sprink. _
Gas Pipe
_Storm W_
Sign
_Other —
Permit No.
0292
VALUE
I nt. lot
Value Labor & Mat. Corner lot
leeo. to
Description of Work
!tn ' &44
Q/y 5515.
Rev. C. L
Street
Date issued
Bldg. fee
Other
Total 16. aV
Approved for Chief B.I.
Zoning
N