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HomeMy WebLinkAbout4130 TANGER ST - PERMITS - 9/10/1986City 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 Name c Mail Address _ Lk Phone Name Addresst -Fa ,:.v,^C.: Z`.rx+.v ...✓=- C'�t` _ - U License No ;0 Phone z_ d l a Lot Block Filing Number N - Subdivision N PUD rn Parcel # w , , a DESCRIPTION OF WORK f Stock Options Plan No. Codess._.. Est. Total Gost (including labor, material, profit"` f r w I hereby acknowledge that kave read this ;application and state that the above is correct and agree to comply with all city ordinances and state laws regulating building construction_ dakf — — 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 Water & Sewer Plan Review Special Conditions: Valuation FEES Plan Check —R• Permit G Parkland City Sales Tax St. Oversizing Water Plant Investment Sewer Plant Investment Storm Drainage Electric Underground Total Fees ^r Blue - Officc Canary - 9ai>� fax. Pr n pllra n' g aldg. Insp 4 Off -Street Parking (No. Cars) Interior Lot ❑ Corner Lot ❑ Reversed Corner Lot ❑ _r m `m a� m m in c 0 "J LL Street C O To ZBACase# Date - BBA Case # Date Building_LFW. Approval by - date permit No Date