HomeMy WebLinkAbout421 LILAC LN - PERMITS - 11/15/1988City 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 Addl d LA <!�
Name
d
c
Mail Address
/ ,
Phone
o
U
R
C
Name
Address D ry Ill
&4L
U
License No. Allp
Phone --D
Contractor Sales Tax No.
°
Q
Lot
Block
Filing Number
Subdivision
O
v
PUD
Parcel # q71. -07-013
DESCRIPTION OF WORK
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 corn ct and agree to comply with all city
orna nd tote Is regulating building c nstru ion.
signed
— CLASS OF WORK —
Alteration Al
❑ ❑.
molish Move
❑ ❑
Mach. I c
❑❑
Struct. Fire Prot.
Elb
T St.
Use Zone
l
Height
No. Stories
Lot Area
Frontage
Dec. load
COO. Change from
Plat File No. No.
D.U.
Garage area Fin.
Ssmt. 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
14
Parkland
City Sales Tax
/
St. Oversiiing
Water Plant Investment
Sewer Plant Investment
Storm Drainage
Electric Underground
Total Fees
OistrinubonOriginal - Applicant. Blue - Office: Canary - Sales Tat: Pink - Applicant', Tag_ Bldg. Insp. `—
Off -Street Parking
(No. Cars)
Interior Lot Cl
Corner Lot ❑