HomeMy WebLinkAbout2190 W Drake Rd - Permits/Tenant Finish - 06/03/1983 (5)It o_ Fort - ollin.... - .. —��.,
s BUILDING INSPECTION DIVISION ,
APPLICATION FOR BUILDING PERMIT AND CERTIFICATE OF OCCUANCY
Applicant complete this part of form only.
Press firmly using ball point pen.
Job Address v94) Lo,
Name Jat,1 yf L,t tt4,PL f V
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Mail Address
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Phone
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Name
Address y�
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License No. A
Phone
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Lot Block
Filing Number
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PUD LitS�Fs E..`CL..(1 t,r
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DESCRIPTION OF WORK
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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 con�srtruction-
signed `, -" da e
— CLASS OF WORK —
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Iteration Addition Demolish Move
Plbbgg.
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Mew. Eleecc Str❑uct. Fire❑Prot.
Occ. Gr.
Type Const.
Use Zone
Use of Building
FloorArea
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Height t f t 5(I
No. Stories
Lot Area
Frontage
Occ. load
Occ. Change from
Plat File No.
No. D.U.
Garage area
Fin. Bsmt. area
Type heat
No. Fireplaces or stoves
— RELEASES — Dates
Zoning
Engineering
Fire Department
Electric Department
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Water & Sewer
Plan Review
Special Cond
tions: r".) C
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Valuation
FEES
Plan Check
Permit.
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Parkland
City Sales Tax,
St. Oversizing
Water Plant Ir{vestment
Sewer Plant Investment
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Storm Drainage
Electric Underground
Total. Fees,..
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Off -Street Park! I g
(No. Cars)
Interior Lot
❑
Corner Lot
❑
Reversed Corner Lot
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Street
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ZBACase#
Date
BBA Case #
Date
Building
In `V
Approval
by
date`
timr No.4
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