HomeMy WebLinkAbout1437 Regency Ct - Permits - 08/24/1988City of Fort Collins BOILDING 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
Name +(4 ��
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Mail Address
Phone
Name
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Address'
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License No. Phone% 7 � '41 ,SO
Contractor Sales Tax No.
Lot
Block
Filing Number
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Subdivision
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PUD
aParcel
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DESCRIPTION OF WORK
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Stock Options
Plan No. _ kill, // Co
Est ,TotaCost 19-6. �174x"*Ir 04
(includinglabor, 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.
signed date
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— CLASS OF WORK —
New Alt ion Addition Demolish Move
❑ ❑ ❑
PI g. Mech. Elec. Struct. Fire Prot.
Occ. Gr.
Type Const. e e
Use of Building
Floor Area ght
No. Stories
Ar a ` a
Occ. load
O c.Chan
Plat File No.
D.U.
Garzlge area
Fin. Bsmt. area
Type heat
No. Fireplaces or stoves
— RELEASES — Dates
Zoning
Engineering
Fire Department
Elecjric Department
Water & Sewer
Plan Review
Special Conditions:
Valuation FEES
Plan Check
Permit
Parkland
City Sales Tax
St. Oversizing
Water Plant Investment
Sewer Plant Investment
Storm Drainage
Elecjric Underground
Tota Fees
Distnhubon Original - Applicant Blue - Office. Oanery - Sales Tax Pink - Appl,ant Tag - Bldg. Insp.
Off -Street Parking
(No. Cars)
Interior Lot
❑
Corner Lot
❑
Reversed Corner Lot ❑
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ZBA Case #
Date
BBA Case #
Date
Building Insp.
pproval
by Llydate
e Tr
Permit No.
Date