HomeMy WebLinkAbout431 TROUTMAN W PKWY - PERMITS - 9/17/1983city
of Fort Collins BUILDING INSPECTION DIVISION
APPLICATION FOR BUILDING PERhl AND CERTIFICATE OF OCCUPANCY
Applicant complete this part of form only.
Press firmly using ball point pen.
Job Address
Name
m
c
Mail Address
3
O
P lhwri
Name
o
8
m
Address
c
0
O
License No. ,• r -
Phone
2
Lot
Block
Filing Number
g,
b
m
Subdivision
0
da
PUD
m
to
DESCRIPTION OF WORK
400,
Stock Options
Plan No. Codes
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
ordinances and state laws regulating building construction
,
=Tsigned : -� date
Off -Street Parking
(No. Cars)
Interior Lot
❑
Corner Lot
❑
Reversed Corner Lot
❑
a
m
`m
m
_V
d
_1D
m
m
in
all
n
c
0
LL
"J
Street
c
0
v
ZBA Case #
Date
BBA Case #
Date
Building
Insp. Approval
by
date
11,233
Permit No.
Date
Distribution Original - Appbcant. Blue - Office , Canary - galas Tsx. Pink - Applicant. Tag - Bldg I nsp