HomeMy WebLinkAbout618 REMINGTON ST - PERMITS - 2/11/1987City 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 ARA -j/ Ai!' i Rill,
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Mail Address
3
Phone
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NameLtlw�i3,it�
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Address �X t/
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License No.e�-), y
Phone - f�
Lot
Block
Filing Number
aSubdivision
a
PUD
Parcel #
DESCRIPTION OF WORK
Stock Options
Plan No.— — Codes_-.
Est. Total Cost__ 1/5o ,'per
(including labor, material, profit)
I hereby acknow'ledgB 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.
la -y
signed date
— CLASS OF WORK —
New Alteratn
Addition Demolish
Move
Plb . hilli
Elec. Struct.
Fire Prot.
Occ. Gr.
Type Com
Use Zone
Use of Building
Floor Area
H ht
No. Stories Lot Ar Fr ntage
Occ. load
. C g om
Plat e
Ga rea
i mt. area
Type heat
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
Total Fees
_
Distribution Original - Applicant Blue - Office- Canary - Saleg Tax. Pink - Applicant Tag - Bldg. Insp.
Off -Street Parking
(No.
Cars)
Interior Lot
❑
Corner Lot
❑
Reversed Corner Lot
❑
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Street
PRMTS
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FEB.11'87
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ZBA Case #
Date
BBA Case #
Date
Building Insp.
Approval
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date]
Permit No.
Date
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