HomeMy WebLinkAbout614 ENDICOTT ST - PERMITS - 5/22/1987City Of Fort, CO11inS 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 (00
Name,
Mail Address `�j�•Z
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Phone
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Name
Address
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License No.
Phone
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Lot
Block
Filing Number
Subdivision
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PLO
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Parcel #
DESCRIPTION OF WORK
1 Ia ., lIIs
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Stock Options
Plan No. Codes
Est. Total Cost 2
(including lab , material rofit)
t I have read this application and
IS and agree to comply with all city
or inegulating building construction.
I =signed
,� —date
— CLA)SS OF WORK —
New Alteratiy Addition Demolish Move
❑ 9' ❑ ❑ ❑ '
Plbg. Mach. Elec. Struct. Fire Prot.
❑ ❑ ❑ ❑ ❑
Occ. Gr. Type Const
Use Zone
Use of Building
Floor Area
t
No. Stories
Lot A ea F o
Occ. load
C. ang r m
Plat File No.
o. U.
Garage area
in. t. 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 -Undergrou nd
Total Fees
Off -Street Parking
-
(No. Cars)
Interior Lot ❑
Corner Lot ❑
Reversed Corner Lot ❑
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JIL
Street
PRMTS
14.50
TAXPM
11.00
TOIL
25.50
CLACK 2
N90277 14'06 A
MAY.26'87
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ZBA Case If
Date
BBA Case If If
Date
Building Ins
Approval
by
date
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V!
Permit No.
Date
i.50
Oistribution: Original - Applicant: Blue - Office, Canary - Sales Tax. Pink - ApplicanC Tag - Bldg. lusp.