HomeMy WebLinkAbout412 W OLIVE ST - PERMITS - 6/22/1987City 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 6)/-1 VIE,
Name
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Mail Address
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Phone Oo&
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Name✓ t
Address
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License No. s
Phone ��
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Lot Block
Filing Number
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Subdivision
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PUD
m
Parcel #
DESCRIPTION OF WORK
. 11
Stock Options
Plan No.—.--_ Codes---
Vil
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
ord inances�ff nd state laws regula g building cons ruction.
s.g d -- - dat
— CLASS OF WORK —
New Alteration Addition Demolish Move
❑ ❑ ❑ ❑ ❑
Plbg. Mach. Elec. Struct. Fire Prot.
❑ ❑ ❑ ❑ ❑
Occ. Gr.
Type Const.
Use Zone
Use of Building
Floor Area
Height
No. Stories
Lot Area
Frontage
Occ. load
Occ. Change from
Plat File No.
No. D.U.
Garage area
Fin. Bsmt. area
Type heat
No. Fireplaces or stoves
— RELEASES — Dates
Zoning
Engineering
Fire Department
Electric Department
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Water & Sewer ell
Plan Review
Special Conditions:
i
Valuation FEES
_
Plan Check
_
Permit
-
Parkland
City Sales Tax
St. Oversizing
---------------..
Water Plant Investment
---------._—._..----
Sewer Investment
-Plant
Storm Drainage
Electric Underground
Total Fees
Distribution Orig,ket-Upl¢ant. !flue - OWCekjGdnary -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
Bull ¢+� �'� Approval
b /_/. date
Permit No.
Date