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HomeMy WebLinkAbout2713 Silver Creek Dr - Permits/Addition or Alteration - 02/09/1989City 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 !4%z,5 Name 7f- `m Mail Address o f Phoneys-.p ZOO Name o U -- -- Address oI U - - License No. ._ , % Phoned Contractor Sales Tax No. 4 c Lot `4� - Block - Filing Number _ / Subdivisionf� PUD Parcel # —e— % O .v _ ©S ^ O Z DESCRIPTION OF WORK _- 14- Al �y // C_..0 .:�>L/ - Gera yrl� Stock Options Plan No. Codes y_... Est. Total Cost _. _ lmcludmg 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 - --. ---- date-._---- — CLASS OF WORK — New Alteration Addition Demolish Move ❑ ❑ o ❑ ❑ Plbg. Mech. Elea Struct. Fire Prot. ❑ ❑ ❑ ❑ ❑ Occ.Gr. Type Const. Use Zone Use of Building Floor Area l Height No. Stories i�ea Frontage Occ. load Occ. C in from Plat File No. o. D.U. Garage area Fin. Bsmt_area Type heat No. Fireplaces or stoves — RELEASES — Dates Zoning Engineering Fire Department Electric Department - Water & Sewer Plan Review Special Conditions: Valuation /�// FEES Plan Check 1 —_ Permit Parkland City Sales Tax• Z St. Oversizing Water Plant Investment Sewer Plant Investment Storm Drainage Electric Underground Total Fees Uistnbu0on Unginal - Apphcant RWe - Office Canary Sales Tax.Pink - Apphcsnt Iaq - Bldg. Wisp Off -Street Parking (No. Cars) Interior Lot ❑ Corner Lot ❑ Reversed Corner Lot ❑ m m _'v c f f I a � ^^ D a� in `m U) r c 0 J l Street - c ZBA Case # Date BBA Case # Date Building Insp. Approval by date Permit No. Date