HomeMy WebLinkAbout613 Brown Ave - Permits/Reroof - 08/27/1979CITY OF FORT COLLINS
APPLICATION FOR BUILDING PERMIT —SHORT FORM
�13 d WAX
Building
Address
Date of Application 197
Name
3
Mail Address
O
City ti Tel. No. v y,.ry��
o
Name
0
AddressCa
City
0
O
City License No. Tel. No.
Occupancy Group A, B, C, D, E, F, G,
H, I, J Division 1, 2, 3, 4
Use Zone —RE, RL, RLM, RM, RH, RP, RMP
ML, MM, BP, BL, HB, BG, C, IL, IG
Fire Zone 1, 2, 3
PUD
Signature of owner
By Contractor
Class of Work
Plumbing
_Roofing
Heating
_Fencing
Electric
—Sprink.
Gas Pipe
_Storm W
Sign
_Other
Permit No. DRft its Vggj
Bldg. fee
VALUE
//C)o Other
I nt. lot
Total Value Labor & Mat. Corner lot
Description of Work
Total //.,Oo
Rev. C. L.
Street
Approved for Chief B.I.
Zoning
B.1. ) "3