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3555 STANFORD RD - PERMITS - 9/8/1988 (2)
City 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. JobAddress3J%5 Nam _Ff w Mail Address o Name o U Address � J 1 ill I ) U x�r✓V_7 � License No. _a Phone _ Contractor Sales Tax No. ; c ° n Lot Block Filing Number 9� Subdivision + (AC m PUD ,,//") ` Unit Parcel # C' "7_ _ DESCRIPTION OF WORK � L f mil. 67 Stock Options Plan No. Codes_ Est. Total Cost©©— lincluding 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 a state Pws regulating building construction. sign date f — CLASS OF WORK New Alt�ratsyr� Addition Demolish Move ❑ bIY ❑ ❑ ❑ Plbg. Wec0. - E Struct. Fire Prot. ❑ ❑ ❑ ❑ Occ. Gr. AjType Const. ' Use Zone Use of Building. FloorArea Height No. Stories Ara ront ge Dec. load c. e i om Plat File No. U. Garage area 941 area Type heat No. Fireplaces or stoves — RELEASES — Dates Zoning Engineering Fire Department Electric Department Water & Sewer Plan Review vf) I Special Conditions: Valuation FEES Plan Check Permit a Parkland City Sales Tax _ Srjy� St. Oversizing Water Plant Investment Sewer Plant Investment Storm Drainage Electric Underground J Total Fees Distribution Original - Applicant Blue - Office'. Canary - galas Tax_Pmk - Applicant: Tag - Bldg. Insp. Off -Street Parking (No. Cars) Interior Lot ❑ Corner Lot ❑ Reversed Corner Lot ❑ m co m I I ( I N ^� N n M in t 0 u_ "J Street O co ZBA Case # Date BBA Case # Date Building Insp. Approval L by date 00 C,�:kS) e--) / � Permit No. Date