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HomeMy WebLinkAbout644 PETERSON ST - PERMITS - 4/22/1988City 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 - CJr ift joll C. cMail Addressfl 3 Phone E'l Ci Ci Name Roq CR Ifv Qt5l Address pCH © 81 U E qp, jV55- op C �Ns f U LLicense No. �_ f Phone- 4 tf Contractor Sales Tax No. a Lot Block Filing Number v Subdivision ° m PUD o, Parcel # DESCRIPTION OF WORK .'3 r. Tn •, i.-, . h Stock Options PI an No. Codes _ Est. Total Cost �� 50�.0 (including labor, material, profit) I hereby acknowledge that I have read this application and state that th above is correct and agree to comply with all city ordinanc a d state laws regulating building construction. signed date - CLASS OF WORK - New Alteration Addition Demolish Move ❑ ❑ ❑ ❑ ❑ Plbg. Mech. Elec. Struct. Fire Prot. ❑ ❑ ❑ -1 ❑ ❑ Occ. Gr. Tynst. Type CoC. - Use Zone Use of Building i - Floor Areallo. Stories % Lot a rontage Occ. load h aqqe`( 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 Plan Check Permit -`.r'� ✓ Parkland City Sales Tax St. Oversizing Plant Investment _Water Sewer Plant Investment Storm Drainage Electric Underground Total Fees Distribution. Original - Applicant. Blue - Office'. Canary- Sales Tax. Pink - Applicant, Tag - Bldg. Insp. Off -Street Parking (No. Cars) Interior Lot ❑ Corner Lot ❑ Reversed Corner Lot ❑ m d _IV u m C 0 i 0 Street c O ZBA Case # Date BBA Case # Date Building Insp. Approval by date j /! / Permit No. Date