HomeMy WebLinkAbout110 Yale Way - Permits - 08/28/1986.ity of Fort Collins BUILDING INSPECTION DIVISION
APPLICATION FOR WILDING PERMIT AND CERTIFICATE OF OCCUPANCY
Applicant complete this part of form only.
Press firmly using ball point pen.
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Name
Mail Address
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Phone
Name T oat
Address
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License No. Y+.-...
Phone
Lot
Block
Filing Number
Subdivision -
PUD
Parcel a
DESCRIPTION OF WORK
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ock Options
an No. _ Codes
s. Total Cost d"
1cfuding labor, material, profit)
f hereby acknowledge that I have read this application and
ate that the above is correct and agree to comply with all city
ddinances and state laws regulating building construction.
signed
— CL S OF WORK —
New Ali Addition Demolish Move
❑ ❑ ❑ ❑
Plbg. Mach. Stec. Struct. Fire Prot.
❑ ❑ ❑ ❑ ❑
Occ. Gr. Type Const.
Use Zone
Use of Building
Floor Area
Height
No. Stories
I Lot Area r
Dec. bed
qbc
Plat Fib
N4. .0 '
a
t. arse
Type heat
No. Fireplaces or stoves -
- RELEASES — Dates
Zoning
Engineering
Fire Department
Electric Department
Water & Sewer
Plan Review
Special Condatons:
Valuation FEES
Plan Check
Permit
Parkland
City Sales Tax
St. Oversizin
Water Plant Investment
Sewer Plant Investment
Storm Drainage
Electric Underground
*Wm : orgiR.i - ApphCVA aii. `Oeka: Caney I s.Q�,T.WPI - AVAIaM: Tali - 910g.'1W, ,. `J .-
Off -Street Parking
(NO. Cara)
Interior Lot
❑
Comer Lot
❑
Reversed Comer Lot
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ZBACases
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Date
Building trap. royal
by date.
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