HomeMy WebLinkAbout1719 Mathews St - Permits - 12/30/1999 (4)CITY OF FORT COLLINS
APPLICATION FOR BUILDING PERMIT —SHORT FORM
Building Address /-7 `tA7]7fCLn)S
Date of Application — 1930
Name LAUR fAI e it -1 t?kr-wA
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Mail Address 46iS S7D VCk_
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City -F=T- Tel. No. Z 2 CJ/O
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Name 6i ZA "(1J(21
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Address (S2,C> N
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City FT- Co ,tiNS
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City License No. S-,26¢Tel. No. 4-47)3 p
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
Signature of owner By Contractor Y U 1
Class of Work
Plumbing
_Roofing
Heating
_Fencing —
Electric
_Sprink. _
Gas Pipe
_Storm W _
Sign
_Other _
Total Value Labor & Mat.
/ ^J &-
Description of Work
SPuPD 3- Pc i
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RAT f�
vo,)S5F ONLY
Permit No.
VALUE
Int. lot
JAR 9 igao
Date issued
Corner lot
Rev. C. L
Bldg. fee
Other
Total
Street
Approved for Chief B.I.
Zoning
a