HomeMy WebLinkAbout642 SMITH ST - PERMITS - 12/17/1979CITY OF FORT COLLINS
APPLICATION FOR BUILDING PERMIT —SHORT FORM
Building Address
Date of Application 19
Name
a�
3
Mail Address r
O
City - L If,) Tel. No.
o
Name I
Address /; . 777-_
City
U
City License No. -IC.3 Tel. No O, ,, Ir(�-'61
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 ContractorCu v
Class of Work
Plumbing
_Roofing J_
Heating
_Fencing
Electric
Sprink.
Gas Pipe
_Storm W
Sign
_Other
Total Value Labor & Mat.
Description of Work
rE c f. '!.ti rY� f 'c `k
Prrut�. Date issued
';�I_Idg. fee
VALUE
Other
Total Y .
I nt. lot
Corner lot
Rev. C. L.
l
I
Street
Approved for Chief B.I.
Zoning
B.I. d )6