HomeMy WebLinkAbout416 N ROOSEVELT AVE - PERMITS - 9/20/1979CITY OF FORT COLLINS
APPLICATION FOR BUILDING PERMIT —SHORT FORM
Permit No.
i84 01
VALUE
Classes Work
Building
Address N t L Y �
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% /2�' 197 9
Plumbing —Roofing
Heating —FencingElec—
Date
Application
of Appric
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tPIpe
Name l
Gas _Storm W
3
Mail Address y/4 y
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Sign _Other
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Cite
Tel. No. %/-�.'%
Total Value Labor & Mat.
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Name
Address -/cam/
Description of Work
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City License No. ,S ZS
Tel No
nc Group A, B, C, D, E, F, G,
Occupa y
H, 1, J Division 1, 2, 3, 4
Use Zone —RE, RL, RLM, RM, RH, RP, RMP
ML, MM, BP, BL, HB, BG, C, IL, IG L
Fire Zone 1, 2, 3
PUD
Signature of owner
By Contractor,- . -- ,/4 f
Date issued
Bldg. fee
Other
Tota---
Int. lot
Corner lot
Rev. C. L.
I
I
Street
Approved for Chief B.I.