HomeMy WebLinkAbout417 N ROOSEVELT AVE - PERMITS - 10/19/1979Permit No. Date issued
6 5 Bldg
CITY OF FORT CO
APPLICATION FOR BUILDING —SHORT FORM VALUE PERMIT ether
Classes w0
Building Address / '; �' = y `Total `1 J J
Plumbing —Roofing
lication i i / 7` 19 �` Heating —Fencing —
Date of App Gas Electric _Sprink.
r za �- Pipe _Storm W
Name - Luc _other Int. lot �-
3 Mail Address )' ? � " Sign
i Tel. No.. <-i-��'� Corner lot
o City 1T" Total Value Labor &Mat.
Work Name Rev. C. L.
o i
Description o A a
Address —Yco
City
UTel. No.
City License No.
Occupancy Group A, B, C, D, E, F, G, El
H, I, J Division 1, 2, 3, 4
Use Zone —RE, RL, RLM, RM, RH, RP, RMP Street
ML, MM, BP, BL, HB, BG, C, IL, IG
Approved for Chief B.I.
Fire Zone 1, 2, 3
PUD Zoning
Signature of owner B.I.