HomeMy WebLinkAbout842 Balsam Ln - Permits/Reroof - 01/21/1980CITY OF FORT COLLINS
APPLICATION FOR BUILDING PERMIT —SHORT FORM
Bu'Iding
Address &
Da4
of Application 19
Name
3
Mail Address
O
City Tel. No.
o
Name
L)
ca
Address
City VIC,
'No.
U
City License S _) v 3 Tel. No.Z 26 —,�;,6
Occupancy Group A, B, C, D, E, F, G,
H, I, J Division 1, 2, 3, 4
Use Zone —RE, RL, FILM, RM, RH, RP, RMP
ML, MM, BP, BL, HB, BG, C, IL, IG
Fire Zone 1, 2, 3
PUD
Si nature of owner__'r��7f�
By Contractor loj'i'o,hp, 0, wa'�
Class of Work
Plumbing
_Roofing
Heating
_Fencing
Electric
—Sprink.
Gas Pipe
_Storm W_
Sign
_Other
Totallalue Labor &,,Mat.
'i � n/5 0
Description of Work
a
Permit No.
T 0 2 7 2,
VALUE
Date issued
Bldg. fee
Other
Total "2 Z/, (9D
I nt. lot
Corner lot
Rev. C. L.
Street
Approved for Chief B.I.
Zoning
A