HomeMy WebLinkAbout1809 BROADVIEW PL - PERMITS - 8/21/1979CITY OF FORT COLLINS
APPLICATION FOR BUILDING PERMIT —SHORT FORM
Building Address ' U
Date of Application - 19�
Name
d
3
Mail Address
O
City Tel. No.
o
Name
Address (�, L
Citykt
U
City License No. Tel. No. \-\
Occupancy Group A, B, C, D, E, F, G,
H, I, J Division 1, 2, 3, 4
Use Zone —RE, RL, RLM, RM, RH, RP, RMP
ML, MM, BP, BL, HB, BG, C, IL, IG
Fire Zone 1, 2, 3
PUD
Signature of owner t&
By Contractooe__Z _, - '
Class of Work
Plumbing
_Roofing
Heating
_Fencing
Electric
_Sprink. _
Gas Pipe
_Storm W_
Sign
_Other
Total Value Labor & Mat;
Description of Work
Permit No. Date issued
40 Bldg. fee
A
Other
Total // L
Int. lot
Corner lot
Rev. C. L.
Street
Approved for Chief B.I.
Zoning