HomeMy WebLinkAbout421 W MOUNTAIN AVE - PERMITS - 1/1/2000 (2)CITY OF FORT COLLINS
APPLICATION FOR BUILDING PERMIT —SHORT FORM a
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Building
Address y��� 1 U✓��L��
Date of Application 19
Name '
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Mail Address
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City , `' Tel. No.
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Name T; ` Jf,'Czf 1G
Address �� ✓'.- y cY�
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City
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City License No.Tel. No.�'21 �yr
Occupancy Group A, B, C, D, E, F. G,
H, I, J Division 1, 2, 3, 4
Use Zone —RE, RL, RLM, RM, RH, RP, RMP
ML, MM, BP, BL, HB, BG, C, IL, IG
Fire Zone 1, 2, 3
PUD
Class of Work
Plumbing _Roofing
Heating _Fencing
Electric —Sprink.
Gas Pipe _Storm W
Sign _Other
Total Value Labor & Mat.
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Description of Work
7
Signature of owner r zt r
By Contractor,�cti
Permit No. Date issued
LUEr� 9 Bldg. fee
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Other
Total , ), OC
Int. lot
Corner lot —
Rev. C. L. —
Street
Approved for Chief B.I.
Zoning