HomeMy WebLinkAbout624 SMITH ST - PERMITS - 6/8/1979CITY OF FORT COLLINS
APPLICATION FOR BUILDING PERMIT —SHORT FORM
Building Address
Date of Application 19
Name
3
Mail Address - WC
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City c' Tel. No.
o
Name Try
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Address
City � �•
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City License No. Tel. No_,,�,)(,_ Leo
Occupancy Group A, B, C, D, E, F, G,
H, I, J Division 1, 2, 3, 4
Use Zone —RE, RL, RLM, RM, RH, RP, RMP
ML, MM, BP, BL, HB, BG, C, IL, IG
Fire Zone 1, 2, 3
PUD
Signature of owner
By Ccntmctor �j
ty Permit No.
f� 1 4
VALUE
Class of Work
Plumbing
_Roofing
Heating
_Fencing
Electric
Sprink.
Gas Pipe
_Storm W
Sign
_Other _
Total Value Labor & Mat
Description of Work
Date issued
Bldg. fee
Other
Total/ % rG
I nt. lot
Corner lot
Rev. C. L.
Street
Approved for Chief B.I.
Zoning
3