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HomeMy WebLinkAbout626 S GRANT AVE - PERMITS - 1/25/1989vll,y Vl _r ort k_ Ooni 1S 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 Z \�� j / n , Name y, i r 3 -(LI r;'_ r cD Mail Address i d tj 3 O 1 Phone Name' Uo Address 333 t 1 I p c l t � • 0 U License No. .- as r Phone? _0 3 �P Contractor Sales Tax No. aZ / n Lot Block Filing Number y Subdivision ° PUD m Parcel# cr^1 y ;L — 1 I -00 DESCRIPTION OF WORK r i 4 T r Stock Options Plan No. Codes Est. Total Cost D (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. C� kL119 LX./.DA3U10 l)45)aq signed date — CLASS OF WORK — New Alteration ❑ ❑ Addition Demolish ❑ ❑ Move ❑ Plbg. Mech. ❑ ❑ Elec. Struct. ❑ ❑ Fire Prot. ❑ Occ. Gr. Type Const Use Zone Use of Building Floor Area NS�Height No. Stories IV91 A a Frontage Occ. load Oc . ge from 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 3-57 Permit Parkland _,70 City Sales Tax St. Oversizing Water Plant Investment Sewer Plant Investment Storm Drainage Electric Underground Total Fees Uistnbution. 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 0 Cc IV ( l l l E � � in m in c 0 ti Street ____ 0 v 70 ZBA Case # Date BBA Case # Date Building Insp. Approval by 5 date 089ieZ,38 11izslill ri Permit No. Date City 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 a, c Mail Address i O Phone Name 1 11 $ U Address _. R C O U License No. Phone Contractor Sales Tax No. a Lot Block Filing Number N Subdivision PUD m J Parcel # DESCRIPTION OF WORK i Stock Options Plan No. Codes Est. Total Cost (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. signed date - CLASS OF WORK - New Alteration Addition Demolish Move ❑ ❑ ❑ . ❑ ❑ Plbg. Mech. Elec. Struct. Fire Prot. ❑ ❑ ❑ ❑ ❑ Occ. Gr. Type Const. Use Zone Use of Building Floor Area ; Height No. Stories L t Area _ Frontage Occ. load Occ. Marilge from 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 - Parkland City Sales Tax j 1 St. Oversizing Water Plant Investment Sewer Plant Investment Storm Drainage Electric Underground Total Fees Off -Street Parking (No. Cars) Interior Lot ❑ Corner Lot ❑ Reversed Corner Lot ❑ -o `m r m IV to co 0 ti Street c O ro ro ZBA Case # Date BBA Case # Date Building Insp. Approval by date Permit No. Date Distribution. Original - Applicant, Blue Office'. Canary - Sales Tax. -Pink - Appli6afU_Tag - Bldg. Insp.