HomeMy WebLinkAbout4213 HUMMINGBIRD DR - PERMITS - 3/4/1988City 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.
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Phone -o75.3
Name
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Address dolrE
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License No.
Phone
Contractor Sales Tax No.
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Lot
Block
Filing lxlrnber
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Subdivision
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Parcel #
DESCRIPTION OF WORK
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Stock Options
Plan No. Codes
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Est. Total Cost
lincluding 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.
signed doe
— CLASS OF WORK —
New Alter ti n Addition Demolish Move
❑ ❑ ❑ ❑
Plbg. Mach. - Elea Struct. Fire Prot.
❑ ❑ ❑ ❑
-
Dec. Gr. IType Const.
Use Zone
Use of Building
FloorArea
Height
No. Stories Lot Ar
r e
Occ. load c . h from
Plat File No.
D
Garage area
n. mt. area
Type heat
No. Fireplaces or stoves
— RELEASES — Dates
Zoning
Engineering
Fire Department
Electric Department
Water & Sewer
PlanReview
Special Conditions:
Valuation FEES
Plan Check
Permit
Parkland
City Sales Tax
$
St. Oversizing
Water Plant Investment
Sewer Plant Investment
Storm Drainage
Electric Underground
Total Fees
- Z
Off -Street Parking
(No. Cars)
Interior Lot ❑
Corner Lot ❑
Reversed Corner Lot ❑
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Street
PRMTS 21.60
R FM 11.68
TOTL 33.28
CHCK 3
N22490 15:37 A
MAR.07'88
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ZBA Case # Date
BBA Case # Date
Building
Insp. Approval
by
date
'28 54(�)
31�688
Permit No.
Date
Distribution Original - Applicant, Blue - Oflim Canary - Sales Tax, Pink - ApplicanP. Tag - Bldg. Insp.