HomeMy WebLinkAbout1917 Mohawk St - Permits - 03/19/1987City 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/ / 1 f
Name
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Mail Address..
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Phone
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Nam
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Address !�
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License NoPhonea
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Lot i2 1
Block
Filing Number
N
Subdivision
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PUD
Parcel # y - Y 7 7
DESCRIPTION OF WORK
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, =-Y-ezzel�c
Stock Options
Plan No. Codes
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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.
- �G6�-- i 7—
signed date
— CLASS OF WORK —
New AI r on Addition Demolish Move
❑ ❑ ❑ ❑
c ❑ ❑
❑ IeXP!b Mach. Struct. Fire Prot:
Occ. Gr.
Type Const.
Use Zone
Use of Building
Floor Area
Heig
No. Stories
Lot Area
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Occ. load lcicc
*Ol:oml
Plat File No.
N4 D
Garage are
in area
Type heat
o. ireplaces or stoves
— RELEASES — Dates
Zoning
Engineering
Fire Department
Electric Department
Water & Sewer
Plan Reviewze: ,r
Special Conditions:
Valuation --� FEES
Plan Check
_
Permit50,
Parkland
City Sales Tax
St. Oversizing
Water Plant Investment
Sewer Plant Investment
Storm Drainage
Electric Underground
Total Fees
Distribution: Original - Applicant. Blue - Office: Canary - Sales Tax', Pink - Applicant Tag - Bldg. Insp.
Off -Street Parking
(No. Cars)
Interior Lot ❑
Corner Lot ❑
Reversed Corner Lot 0-
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Street PRMTS 157.27
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CHCK 37
M98143 21e27 A
MAR.19'B7
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ZBA Case # Date
BBA Case # Date
Building Insp. pproval
by date
g
Permit No.
Date
.27