HomeMy WebLinkAbout725 S Lemay Ave - Permits/Tenant Finish - 11/15/1985City 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 j rj h 67 41/11_1 f, lt/ C.
Name C / r
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Mail Address
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Name �-^ f.-
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Address
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License No. ! G a Phone.
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Lot >.:. Block
Filing Number
Subdivision N -
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DESCRIPTION OF WORK
-11
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Stock Options
Plan No. Codes
Est. Total
(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
ordinances and state laws regulating building construction.
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— CLASS OF WORK —
New Alteration Addition Demolish Move
a Cl ❑ ❑ ❑
Plbg. Mech. Elec. Struct. Fire Prot.
❑ ❑ [3= ❑ ❑
Occ. Gr. Type Const. Use Zone
Use of Building
Floor Area
Height
No. Stories
Lot Area
Fro_ntage``- t
Occ. load
Occ. Change from
Plat File No. ! . •No.
61J.
Garage are •Fin.
Bsmt. area
Type hIeat
No. Fireplaces or stoves
g — RELEASES — Dates
Zoning
Engineering
Fire Department
electric Department
Water & Sewer f % f•'�
Plan Review
Special Conditions:
Valuation FEES
Plan Check
Permit
Parkland
City Sales Tax
St. Oversizing
Water Plant Investment
Sewer Plant Investment
Storm Drainage
_
Electric Underground
Total, Fees _
Distribution: Original -Appli aM,aNuerOftice Canary -$ales Tax:Pink - Applicant�'Teg �7Bltlg. Insp,
Off -Street Parking
(No. Cars)
Interior Lot
❑
Corner Lot
❑
Reversed Corner Lot ❑
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Date
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Date
Building Insp. yii';- l Approval
by ,'1'I •; date
/121 J4
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Permit No.�
Date
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