HomeMy WebLinkAbout3555 STANFORD RD - PERMITS - 8/25/1987City of Fort Collins BUILDING INSPECTION DIVISION
APPLICATION FOR BUILDING PERAMT AND CERTIFICATE OF OCCUPANCY
Applicant complete this part of form only.
Press firmly using ball point pen. a
Job Address _S tcA,,% ,_, 1'>
Name ^ r r l r V
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Mail Address
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Phone � .,•— ('S�
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Address �l S
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License No.
Phone
Contractor Sales Tax No.
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Lot
Block
Filing Number
Subdivision J �� /
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PUD
Parcel It
WORK
,. /yDESCRIPTION1 +O,FA
Stock Options
Plan No. Codes
Est. Total Cost
(including labor, material, profit)
1 hereby acknowledge that I have read this application and
state that the above is correct and agree to comply with all city
ordinances d state laws regulating building construction.
signe a date
Distribution Original - Applicant. Blue - Ottice, Canary - Sales Tax -Pink - Applicant, Tag - Bldg. Insp.
Off -Street Parking
(No.
Cars)
Interior Lot
❑
Corner Lot
❑
Reversed Corner Lot
❑
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ZBA Case #
Date
BBA Case #
Date
Building
Insp. Approval
by
date
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