HomeMy WebLinkAbout805 Birky Pl - Permits/Reroof - 09/06/1979CITY OF FORT COLLINS
APPLICATION FOR BUILDING PERMIT —SHORT FORM
Building Address
Date of Application — 1p 19
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Nam
3
Mail Address _ CQ/
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City Tel .-�— 3
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Name'
Address
City
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City License No.S ,,,)',f Tel.
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 owne��
By Contractor
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Class of Work
X
Plumbing
_Roofing
Heating
_Fencing _
Electric
Sprink.
Gas Pipe
_Storm W_
Sign
_Other
Total Value Labor
Description of Work
3a 47 �- I-Le,v
Permit No. Date issued
V 6 4 3 ® Bldg. fee
LUE
Other'
Total
I nt. lot
Corner lot
Rev. C. L.
Street
Approved for Chief B.I.
Zoning
A