HomeMy WebLinkAbout604 BROWN AVE - PERMITS - 9/2/1986ClU `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 i h2h i lQ
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Mail Address ^ aVt
O
S- Phone
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Name
Address - -
0
U
License No. Phone -
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=Lot . -
Block
Filing Number .
H
Subdivision - -
Q
PUDis
is
Parcel #
DESCRIPTION OF WORK
Stock Options _
Plan No. Co s
Est. Total Cost
(including labor, materig-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 - ate
N
— CLA
S"OF WORK
New Alterat'
Addition Demolish
Move
Plbg. - — Mach.
❑ ❑
Elec. Struct.
❑ - ❑
Fire Prot.
❑'
Type Const .
Use Zone
Use of Building
Floor Area .
`
Height
No. Stories -
Lot Area
Occ. load
c
e rom
Plat Fit
N . D.
"
Garage area
Fin. Bsmt. area
Type heat
No. Fireplaces or stoves
— RELEASES
—
pates
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
Distribution: OSiginal - Applicant, Blue - Office; Canary - Sales Tax; Pink - Applicant. Tag - Bldg. lnsp. -
Off -Street Parking
- - (No. Cars)
_-
Interior Lot
❑ _
Corner Lot- -
0-
Reversed Corner Lot -.
❑
m
m
_y .
( 1
k 1
c
0
JLL
Street
s -
c
0
a
ZBACase# -
Date
SBACase#
Date
Building Insp. Approval
by date
- Permit No.
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