HomeMy WebLinkAbout710 Eastdale Dr - Permits/Electrical - 03/01/1988city of Fort Collins BUILDING IN SRECTION`D�V,ISION
APPLICATION FOR BUILDING PERMIT AND CERTIFICATE OF OCCUPANCY
- Applicant complete thispartof form only. -
- Press firmly using ball point pen. '
Job Address -7 10 EASTbaZ7 -
Name .
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Mail Address -
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Phone
-Name o e C ! Yf
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Address L
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License No.
Phone P— Z �Q
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Contractor Sales Tax;No. '�
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Block
Filing Number
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Subdivision
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PUD
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Parcel.# r -
' DESCRIPTION OF WORK'
Stock Options
Plan No. Codes
Est. Total Cost
(including labor, 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
ordi aces and state laws regulating building Sir tion.
00
signed - date
:CLASS OF WORK —
New Alteration Addition Demolish - Move-
. ❑- - ❑ - ❑ -_ ❑ - ❑ .
Plod. _ Mech. • - .Elec. _ - - Struct. Fire Prot.
❑ ❑ ❑ ❑ ❑
Occ. 'Gr. Type. Consty
_
Use Zone -
Use of Building
Floor Area -No.
Stories
AMageOcc.
load
cc.
KFin.Bsmt.
Plat File No.
Garage area
Type heat -
— RELEASES — Dates
Zoning -
Engineering
Fire Department
Electric Department
Water & Sewer
Plan Review
Special Conditions:
Valuation FEES
Plan Check
i
Permit
Parkland -
City Sales Tax
St. Oversizing
Water Plant Investment
Sewer Plant Investment
Storm Drainage -
Electric Underground
Total Fees
- Off -Street -Parking -
- (No: Cars)
-
InteriorLot,. - _ - - ❑
- Corner Lot = ❑
. Reversed Corner Lot ? ❑
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ZBA Case#
Date
BBA Case #
Date
Building Insp. Approval
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by
date
IQ 18
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Permit No.
Date-
Distribution: Original - APPlicant: Blue - Office: Canary - Sales Ta.; Pink - Applicant; Tag - B'dg,ins0-