HomeMy WebLinkAbout601 ENDICOTT ST - PERMITS - 4/20/1987ty 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 O 1
A) I C -
Name
d
c
Mail Address Z
Phone -,t S3
Name f 4 L
S
Address 'L (_
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e Od Y
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O
License No. � Phone Z
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Lot
Block Filing Number
a
Subdivision
A
PUD
Parcel #
DESCRIPTION OF WORK
/
h ,
Stock Options
Plan No. Godee��
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
ordin ces and state laws regulating building construction.
c W
signed 176 date
— CLASS
OF WORK —
New Alte{atii
❑ B�
Addition Demolish
❑ ❑
Move
❑
Plbg. Mach:
❑ ❑
Elec. Struct.
❑
Fire Prot.
❑
Occ. Gr. Type Const.
Us e
Use of Building
Floor.Area
a ht
No. Storie
L
t Ar F ge
Occ. loa
c.
hag
m
Plat Fit
. 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
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 ❑
'
D
i
`V
l )
f )
d
^
�
ILL
`V
Street
PRMTS 16.00
TOTL 16.00
CHCK 1
No9310 17:36 A
APR.22'B7'
0
cii
ZBACase# -
Date
BBA Case #
Date
Building Insp. A - roval
by
ate
Permit No.
Date
Distribution: Original - Applicant: Blue 'Offset Canary - Sales Tax: Pink - Applicant: Tag - Bldg. Insp.