HomeMy WebLinkAbout4318 KINGSBURY DR - PERMITS - 9/15/1987City 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 !g -� (O(95 i�' P—
Name
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Mail Address �r ,
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Phone a
Name
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Address
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License No.
one
Contractor Sales Tax No. — M a— Ow IV a,e.
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Lot
Block
Filing Number
v
Subdivision
W
PUD
Parcel If
DESCRIPTION OF WORK
Stock Options
Plan No.— Codes
Est. Total Cost C)
(including labor, material, rofit)
1 hereby acknowledge that I have read this application and
state that the above is correct and agree to comply with all city
ordinances and slate laws regulating building construction.
igned- tlate
— CLASS OF WORK
New Alteration AdditigW Demolish Move
❑ ❑ Q/ ❑ ❑
Plbg. Mach, Elec. S ruct. Fire Prot.
❑ ❑ ❑ Nile
Occ. Gr. Type Const.
Use Zone
Use of Building
Floor AreaWFaeptlaces
No. StoriesOcc.
loadPlat
FileGarage
aType
heat
— RELEASES — Dates
Zoning 7
Engineering
Fire Department
Electric Department
Water & Sewer
Plan Review
Special Conditions,
Valuation FEES
Plan Check —/,J
N C^ fi—F
Permit
*2J e
Parkland
City Sales Tax
Z 0j0
St. Oversizing
Water Plant Investment
Sewer Plant investment
Storm Drainage
Electric Underground
Total Fees
tmt,,6w,.n: Original - AppKant; eloe - Office; Canary - Sales ,-P1nk - Applbaw.. Tag - Bldg. Insp.
Off -Street Parking
(No., )•r
Interior Lot
Corner Lot
Reversed Corner Lot 13
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