HomeMy WebLinkAbout1100 Monticello Ct - Permits/Reroof - 09/15/1986City of Fort CollinS BUILDING 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 �tl,� Moh . ,,
Name (L , rr
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Mail Address
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Phone z Z,
Name:
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Address
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License No.
Phone 1i
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Lot
Block �FNumber
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Subdivision
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PUD
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Parcel #
DESCRIPTION OF WORK
rs.
Stock Options
Plan No. Codes_
Est. Total Cost
(including labor, 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 C` (�datec_
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Distribution: Original - Applicant:'Blue - Office; Canary - Sales Tax: Pink - Applicant: Tag -`Bl�dg. ins�p?,
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Off -Street Parking
(No.
Cars)
Interior Lot
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Corner Lot
❑
Reversed Corner Lot
❑
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Ca
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Street
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ZBA Case#
Date
BBA Cafe # : P
Date
tkiIdin'g Insp ?- Approval
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