HomeMy WebLinkAbout115 N Roosevelt Ave - Permits - 05/06/1980CITY OF FORT COLLINS
APPLICATION FOR BUILDING PERMIT —SHORT FORM
Building Address i1 �aJET
Date of Application
Name
3 Mail Address
O Cit C d Tel. No.(,,� �I;
o Name
o Address
co
City
Q City License No. Tel. No.
occupancy Group A, B, C, D, E, F, G,
H, I, 1 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 n d
Signature of ownee�
By Contractor
Class of Work
Plumbing
—Roofing
Heating
—Fencing —
Electric
—Sprink. --
Gas Pipe
—Storm W
Sign
Other —
Total value Labor & Mat
Descript n of Work
Permit No. Date issued
mow"
Bldg. fee
11ALLt7E-' /Z' z,0
9Df� other/L' Zo V'tp
Total !�Pzj 4/t)
Int. lot
Corner lot
Rev. C. L.
Street
Approved for Chief B.I.
Zoning
B.I.