HomeMy WebLinkAbout4425 WATERLEAF CT - PERMITS - 1/23/1985City 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 }
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Mail Address
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Phone
Name ,`
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Address
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License No.
Phone z; G_
Lot Block .�
Filing Number
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Subdivision
PUD
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DESCRIPTION OF WORK
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Stock Options f±frj'c^
Plan No.27 CodesQFL� G
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
omman and state laws reyyulahffg,b(vl ng constructione date
— CLASS OF WORK —
Ne Alteration Addition Demolish Move
❑ ❑ ❑ ❑
Plb Mach. Elec. Struuct. Fire Prot.
Occ. Gr.
Type Const.
Use Zone��
Use of Building
Floor Area '_9
Height
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Lot Area :
Frontage
Occ. load
Occ. Change from
Plat File No. /
No. D.U.
Garage area
Fin.a
Type heat aG� ;^�
No. Fireplaces or stoves
— RELEASES — Dates
Zoning
Engineering
Fire Department
Electric Department
Water & Sewer
Plan Review
Special Conditions:
Valuation FEES
Plan Check
Permit
Parkland
City Sales Tax
St. Oversizing
Water Plant Investment
;
Sewer Plant Investment
Storm Drainage
Electric Underground
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Total Fees
- Off -Street Parking
(No. Cars)
Interior Lot
Corner Lot
❑
Reversed Corner Lot ❑
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4.
Street
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ZBA Case #
Date
BBA Case #
Date
Building
Insp.; .may.,
Approval
by
( -x...-
dater
emit No.
Date
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