HomeMy WebLinkAbout614 E VINE DR - PERMITS - 7/25/1984City of Fort Collins BUILDING INSPECTION DIVISION
APPLICATION FOR BUILDING PERMT 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 -• a
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Phone
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Name
Address
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License No.
Phone
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Lot
ock
Filing Number
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Subdivision
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DESCRIPTION OF WORK
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Stock Options
Plan No. Codes
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Eat TOtMC
(Includmg lobo/, maleflal, profit)
- 1 hw*" StImOwledpe that I have read this apptication and
state that the above is cor ct and agree to comply with all city
tate 1 "gulatmg building cc"
— CLASS OF WORK —
New A anon Addition Demolish Move
❑ ❑ ❑ ❑
Plbg. Mech. Elec. Struct. Fire Prot.
❑ ❑ ❑ ❑ ❑
co. G . . Type Const.
Use Zone
Use of Building
Floor Area
Hei lit. -
No. Stories
lot Area S
Occ. load
Occ. Change from
Plat File No.
No. D.U.
Garage area
Fin. Bsmt. area
Type heat
No. Fireplaces or stoves
— RELEASES — Dates
Zoning
Engineering
Fire Department
Electric Department
Water & Sewer
Plan Review
Special Conditions:
rt
Valuation FEES
Plan Check
Perk _
.�.....
Parkland `-
City Sain Tax '•� "
-- p, -r .-
St. Oversizing
Water Plant Investment 1-
--
Sewer Plant Investment,
Storm Dretnapa _
Electric Underground
Toth Fees
O+M+tEaribrt OdanY' Mr-_ .y:Cer!eiy-S;L—? Pi-e ADv San,: Tag -BWp. insp.
Off -Street Parking
(No. Cars)
Interior Lot ❑
Corner Lot ❑
Reversed Corner Lot ❑
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Street
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198A CM 10
'8uiltHrrp 'Approval:
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