HomeMy WebLinkAbout419 E ELIZABETH ST - PERMITS - 11/21/1988ity of Fort ColllnS BUILDING INSPECTION DIVISION
APPLICATION FOR BUILDING PERMIT AND CERTIFICATE OF OCCUPANCY
Applicant complete this part of form only.
Press firmly using ballpoint pen.
Job Address %'1 F' Z�
Name S�6 r„` j q
Mail Address 411
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Phone d{s Z 5-0 $ Z
Name
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Address -
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License No. Phone 9g3 i38 {
Contractor Sales Tax No.
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Lot Block Filing Number
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Subdivision
PUD
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DESCRIPTION OF WORK
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Stock Options
Plan No. Codes
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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.
9At' E'om"3 J/-Z/-.Pk
signed date
- CLASS OF WORK -
New Alteration Addition Demolish Move
❑ ❑ ❑ ❑ ❑
Plbg. Mech. `Elec. Struct. Fire Prot.
❑ ❑ 121, ❑ ❑
Occ. Gr. Type st
Use Zone
Use of Building in
Floor Area
Height
No. Stories
L a
Frontage
Occ. load
Occ. Change 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
Q
Parkland
City Sales Tax
St. Oversizing
Water Plant Investment
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
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Date
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Date
Building
Insp. L Approval
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- date
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Permit No.
Date