HomeMy WebLinkAbout632 HEATHER CT - PERMITS - 9/18/1986City of Fort Collins
APPLICATION FOR BUILDING PERMIT
AND
BUILDING INSPECTION DIVISION
CERTIFICATE OF OCCUPANCY
Applicant complete this part of form only.
Press firmly using ball point pen.
— CLA S OF WORK —
New Alte ati Addition Demolish Move
❑ ❑ ❑ ❑
Job Address - "- _ -
Fib% Mach. Elect. Struct. Fire Prot.
❑ ❑ ❑ ❑ ❑
Name mil./. M. L</�/�y`- .�`
Occ. Gr. Type Const.
Use Zone
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Mail Address 63 7
Use of Building
Floor Area
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Phone
No. Stories
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Name 1. .0 [ :la. ✓ y' ; fL,
Occ. Joe �
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Address 7 rj36 11411)j•-rA<r
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E(Garage]area-
Of `. Bsnit. area
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License No. `>- ; � �-.
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Phone
Type heat
No. Fireplaces or stoves
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a
Lot
Block
Filing Number
— RELEASES — Dates
Subdivision
Zoning
d
0
PUD
Engineering
d
Parcel #
DESCRIPTION OF WORK Fire Department
Electric Department
,-7 Water & Sewer
13.
Plan Review
Special Conditions:
Valuation
Plan Check
Stock Options
Plan No. Codes
Permit
Parkland
Est. Total Cost ofod
(including labor, material, profit)
City Sales Tax
St. Oversizing
I hereby acknowledge that 1 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.
Water Plant Investment
Sewer Plant Investment
Storm Drainage
Electric Underground
signed ( '"- date
C
tal Fps \ \
Off -Street Parking
(No. Cars)
Interior Lot
❑
Corner Lot
❑
Reversed Corner Lot
❑
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c
0
JIL
Street
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ZBACase#
Date
BBA Case #
Date
Building Insp. _ Approval
by . date
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Date
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