HomeMy WebLinkAbout831 Boltz Dr - Permits/Reroof - 04/11/1980CITY OF FORT COLLINS
APPLICATION FOR BUILDING PERMIT —SHORT FORM
Building Address b 3 I 30L,TZ OJT
Date of Application L4 ( 1gs-0
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Name -non
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Mail Address �SA-(VI ff
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City F . Q , Tel. No.
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Name `r , 6 L
Address —
City N , L�
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City License No. s-(p3 Tel. No.Z2(Q—
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 �'bN6C� u4u®N�
Class of Work g L
Plumbing _Roofin
Heating _Fencing —
Electric _Sprink. —
Gas Pipe _Storm W_
Sign _Other —
Total V,�lue Labor & M�t.
J,�33
Description of Work
P LE715 "O USr✓
3`T�96.
cD-a sq�-s
f f�o. QPDRate issued
1 1 r�r
Bldg. fee
VALUE /Lf.ea"
Other
Total Arl4d
Int. lot
Corner lot
Rev. C. L.
Street
Approved for Chief B.I.
Zoning
B.I. 9 k,/