HomeMy WebLinkAbout640 ENDICOTT ST - PERMITS - 5/9/1984City of Fort Collins BUILD
APPLICATION FOR BUILDING PERMIT AND CERT
Applicant complete this part of form only.
Press firmly using ball point pen.
Job Address `l�' wits-4-
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Name l�1 rG1m, I �'- .�9' ?'jrgl•'el �..�
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Mail Address
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Phone
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Addressr�F<5
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License No.
Phone-
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Lot J'yi !fj Fj
Block li
Filing Number
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Subdivision '{-p-Irc yi.•VI
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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 construction.
1
- CLASS
OF WORK -
New Alteration
❑ ❑
Addition Demolish Move
❑ ❑ ❑
Plbg. Mech.
❑ ❑
Elea Struct. Fire Prot.
❑ ❑ ❑
Occ. Gr.;;,
Type
Const.
Use Zone
Use of Btidding
Floor Area
Height
No. Storiis
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
Water & Sewer
Plan Review
Special Conditions:
.�.j} d i "•—.
Valuation
Plan Check
FEES
Permit
Parkland
City Sales Tax
St. Oversizing
Water Plant Investment
_
Sewer Plant Investment
_
Storm Drainage
Electric Underground
Total Fees
Street
PL4d(
32.82
FIRM T8
68.17
TAXPO
26.18
`o
T8•i'L
J.27.09
H25222
15;26 >1
MAM9794
ZBACase#
Date
BBACase#
Date
Building Insp.
Approval
by '.
date
Permit No.
Date
39
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