HomeMy WebLinkAbout200 N COLLEGE AVE - PERMITS - 10/13/1983ty
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 � L -
Names'.. l; It, T
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Mail Address
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Phone
Name C)II A'i If. y/il '',f 057`kLAC 7/ J
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Address � ,� .r7 i`�•!! - F
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License No. /�,_,, ' Phone 6s/—tj/,j$
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Lot Block Filing Number
Subdivision
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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.
signed ,_, _, 1 date
— CLASS OF WORK —
New Alteration Addition Demolish Move
❑ ❑ ❑ ❑
Plbg. Mach. Elec. Struct. Fire Prot.
❑ 01 EL ❑ ❑
Occ. Or, I Type Const. Use Zone C
Use of Building 2G» k
Height
Lot Area
Frontage
Occ. Change from
=areaFin.
.
No. D.U.
a
Fin. Ssmt. areallo.
Fireplaces or stoves
— RELEASES — Dates
Zoning O/C
Engineering
Fire Department
Electric Department
Water & Sewer
Plan Review
Special Conditions:
Valuation FEES
Plan Check
Permit
r-
_Parkland
City Sales Tax
_
St. Oversuing
Water Plant Investment
Sewer Plant Investment
Storm Drainage
_
_
Electric Underground
Total -Fees
Distribution Original -AppM1can[Blue -Oftice: Canary - Sales Tax .Pink - Applicant: • Tag -Boca Insp.
Off -Street Parking
(No. Cars)
Interior Lot
❑
Corner Lot
❑
Reversed Corner Lot ❑
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ZBA Case ti
Date
BBA Case If
Date
Building
Insp. Approval
by
date
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( Permit No.-?
Date