HomeMy WebLinkAbout2924 Silverwood Dr - Permits - 02/09/1987City 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.
Name �S (?� �tntt
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Mail Address.
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Phone`s n
Name
RAddressIt
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License No.
Phone
4
E
Lot
Block
Filing Number
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A
Subdivision
76
PUD
Parcel #
DESCRIPTION OF WORK
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Li —INC
Stock Options
Plan No. Codes.. -
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Est. Total Cost _.._. J •
(including labor, material, profit)
I hereby ac q ledge t a I have read this application and
state that the a o i cgRr t nd agree to comply with all city
ordinances a d a ev r gulating building construction.
L p
- — .47
signed date
— CL
S OF WORK —
New Alterati
❑
Addition Demolish
❑ ❑
Move
❑
Plbg. Mech.
❑ ❑
Elec. Struct.
❑ ❑
Fire Prot.
❑
Occ. Gr.
Type Const. I165plone
Use of Building
Floor Area
fight
No. Storie
Ar '
Fr t
Occ. loa
hang fr m
Plat Fil o.
N
" 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:
mt
Valuation
FEES
o0
Plan Check
Permit
Parkland
City Sales Tax
St. Oversizing
Water Plant Investment
Sewer Plant Investment
Storm Drainage
Electric Underground
Total Fees
uistrinuuon_ Original - Npphcant mue - ufiice Canary - Sales Tax. Pink - Anoncani, Tau_ - 61tlg insp.
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7
r
Off -Street Parking
(Nq. Cars)
Interior Lot
❑
Corner Lot
❑
Reversed Corner Lot
❑
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Street
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O 9 77
ZBA Case #
Date
Ati�0�4e #
Date
Rggrg Ins pproval
date
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Permit No.
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