HomeMy WebLinkAbout629 W OAK ST - PERMITS - 7/20/1987City 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 60 -2„9 ie.,
Name J w 4-1 G 0q, 0.
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Mail Address L fG
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Phone
Name �;� J
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Address
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License No ,S-73
Phone '/�-V -o &o
Contractor Sales Tax No. �24'7
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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
17s,
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Stock Options
Plan No. Codes
Est. Total Cost Q c `:
(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
ordinances and state laws regulating building construction.
-� 7
signed date
— C ASS OF WORK —
New Alter on Addition Demolish Move
❑ ❑ ❑ ❑
Plba._ Mach. Elec. Struct. _ Fire Prot.
❑V ❑ ❑ ❑
Occ. Gr.
Type Const. A Use Z e
Use of Building
FloorArea
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No. Storie
Lo Are onta
Occ. to
Oc C ange fro
Plat Fil N
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Garage area
smt. area
Type heat
No. Fireplaces or stoves
— RELEASES — Dates
Zoning
Engineering
Fire Department
Electric Department
Water & Sewer
Plan Review
Special Conditions:
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Valuation FEES
Plan Check
Permit
Parkland
City Sales Tax
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St. Oversizing
Water Plant Investment
Sewer -Plant investment
Storm Drainage
Electric Underground
Total Fees
Distribution. Original - Applicant, Blue - Cl Canary - Sales Tar -Pink - Applicant Tag - Bldg. Insp.
Off -Street Parking
(No. Cars)
Interior Lot ❑
Corner Lot ❑
Reversed Corner Lot - ❑
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ZZBA Case # Date
BBA Case # Date
Building Insp. -Approval
by date
<-71�16
Permit No. Date
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