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HomeMy WebLinkAbout3555 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