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HomeMy WebLinkAbout1009 Driftwood Dr - Permits/Reroof - 03/05/1987city 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 /00 6 c Name Mail Addre � ?� 3 0 6.�/ Phone _ `o Name m c 0 Address U License N e& P h o n a_ Lot Block Filing Number a Subdivision m PUD m Parcel # DESCRIPTION OF WORK 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 date I — CLASS OF WORK — New Altera ' n Addition Demolish Move ❑ ❑ ❑ ❑ Plbg. Mech. Elec. ❑ ❑ ❑Occ. Gr. Type Const. Kt-Firerot. Use of Building Floor Area No. Stories Lot reF nOcc. load cc. Ch n j Plat File N Garage area . Bsmt. area Type heat No. Fireplaces or stoves — RELEASES — Dates Zoning Engineering Fire Department Electric Department Water & Sewer Plan Review Special Co ©O Valuation F ES Plan Check Permit Parkland City Sales Tax St. Oversizing Water Plant Investment Sewer Plant Investment Storm Drainage Electric Underground Total Fees Off -Street Parking (No. Cars) Interior Lot ❑ Corner Lot ❑ Reversed Corner Lot ❑ v 0 t`a a) cr _IV ^^ d U) } c 0 ti Street PRHTS 32.50 TAXPH 27.50 TOTL 60.00 C O CHCK 6 cc No7697 11:49 A hAR.05'87 ZBA Case # Date BBA Case # Date Building Insp. Approval by date Permit No. Cfate s00 Distribution: Original - Applicant: Blue - Office; Canary - Sales Tax: Pink - Applicant: Tag - Bldg. Insp.