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HomeMy WebLinkAbout4229 S MASON ST - PERMITS - 3/24/1988City 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 Address Name O_1164. m Mail Address 5 l�SDn , 3 O Phone a s S Name g Address j� S / 5 IV,7 , U m 0 License No. C L_y-a- Phone Contractor Sales Tax No. C ° Lot . aA Block Filing Number Q d Subdivision 0 PUD pa Parcel # DESCRIPTION OF WORK o r O An Cyr/ 1 a rOL�7-1 ki G`t 1—n/ o-rAj ©A/L 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. ❑ ❑ ❑ ❑ ❑ Dec. Gr. Type Const. Use Zone Ha p Use of Building pL C Floor Area eigh No. Stories Lot Area 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 ,c, Engineering/Z24 AA Fire Department Electric Department Water & Sewer Plan Review 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 T Off -Street Parking (No. Cars) Interior Lot Corner Lot ❑ Reversed Corner Lot ❑ n m IV m. in c a 'V C Street 4 rr MTS 23.62 TAXrvt '_3a75 TDTL 37.37 CPC!' N93034 09=07 A ° HAR,24'88 D to ZBA Case # Date BBA Case # Date Building Insp. G, Approval by / date ZBGG� I 3�z4�88 Permit No. Date l f,37 Distribution: Original - Applicant. Blue - Office. Canary - Sales Tax; Purk - Applicant, Tag - Bldg. Inap.