HomeMy WebLinkAbout4700 MCMURRY AVE - PERMITS - 12/7/19877
city
of Fort Collins
BUILDING INSPECTION DIVISION
APPLICATION FOR BUILDING PERAAIT AND CERTIFICATE OF OCCUPANCY
Applicant complete this part of form only.
Press firmly using ball point pen.
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Job AddressIon
NameL'
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Mail Address
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License No. Phone 6
Contractor Sales Tax No.
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Lot
Block
Filing Number
Subdivision
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PUD
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Parcel #
DESCRIPTION OF WORK
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Stock Options
Plan No. Codes
Est. Total COAT
(including labor, mate al, profit)
reby acknowledge that I have read this application and
ate t the above is t a agree to comply with all city
il Wordan.,sand at laws gul ling building construction.
9
signed date
— CLASS OF WORK —
New Alteration Addition Demolish Move
❑ ❑ ❑ ❑ ❑
Plbg. Mech.
Fire Prot.❑ElDec.
tElevStruct.
Gr. Type C
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Use of Buildi
Floor Area
Heig
No. Stories
of Area
Frontage
Occ. load
Occ. Change from
Plat File No.
No. D.U.
Garage area
Fin. Saint. area
Type heat
No. Fireplaces or stoves
— RELEASES — Dates
Zoning
Engineering
Fire Department
Electric Department
Water & Sewer
Plan Review
Special Conditions:
Valuation zq 06D FEES
Plan Check
Permit
Parkland
City Sales Tax
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 ❑
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CHCK 19
N90930
15:50 A
DEC.08'87
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ZBA Case #
Date
BBA Case #
Date
Building Insp.
Approval
by
date
t�1718
Permit No.
Date
00
Distribution: Original - Applicant Blue -Office: Canary -Sales Tax:.Pirk AOpI¢ant Tag Bldg 1psP( ''