HomeMy WebLinkAbout618 W MOUNTAIN AVE - PERMITS - 1/3/1983City of Fort Collins BUILDING INSPECTION DIVISION
APPLICATION FOR BUILDING PERhUT AND CERTIFICATE OF OCCUPANCY
Applicant complete this part of form only.
Press firmly using ball point pen.
Job Addres
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Name
Mail Address
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Phone
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-Name. Tr _ ,_.._
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Address „ £ ,.
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License No.
Phone
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Lot Block
Filing Number
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Subdivision
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PUD
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DESCRIPTION OF WORK
Stock Options
Plan No. Codes
Est. Total Cost
(including labor, mat{?rial, 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.
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signed date
— CLASS OF WORK —
New Alters ion Addition Demolish Move
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Plbg. Mech. Elec. Struct. Fire Prot.
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Occ. Gr. r
Type Const ; '
Use Zone
Use of Building S !b) -e-
Floor Area
Height
No. Stories
Lot Area Frontage
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:
Valuation
FEES
Permit
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Plan Check
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St. Oversizing
Water Plant Investment
Sewer Plant Investment
Storm Drainage
Electric Underground
Ir CitySales Tax-
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Total Fees
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Distribution Original - Applicant, Blue - Office, Canary - Sales Taxi Pink - Applicant:. Tag - Bldg. Insp.
No.
Date
Permit
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ZBA Case #
Date
BBA Case #
Date
Building Insp.
by _:t4-, ; < .
Approval
date
Off -Street Parking
(No. Cars)
Interior Lot ❑
Corner Lot ❑
Reversed Corner Lot ❑
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Street