HomeMy WebLinkAbout625 MANSFIELD DR - PERMITS - 9/11/1979CITY OF FORT COLLINS
APPLICATION FOR BUILDING PERMIT —SHORT FORM
Building Address (�� (_&R lei
Date of Application
Name
Mail Address u�ro
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City 'F.0 I) TeV.No..�,b_ 4 0
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Name IJIA"kIo
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Address 0) UC
City
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City License No. S- Tel. No. � _ 70q
Occupancy Group A, B, C, D, E, F, G,
H, I, J Division 1, 2, 3, 4
Use Zone —RE, RL, RLM, RM, RH, RP, RMP
ML, MM, BP, BL, HB, BG, C, IL, IG
Fire Zone 1, 2, 3
PUD
Signature of owne
By Contractor /� "ld'c ✓
Class of Work
Plumbing _Roofing _y_
Heating
_Fencing —
Electric
_Sprink. _
Gas Pipe
_Storm W_
Sign
_Other
Total Value Labor & Mat.
4-10 D
Description of Work p
IS -Q 09"_
Permit No. Date issued
(fry ` 1 4 Bldg. fee
VALUE
Other
Total S .oD
I nt. lot
Corner lot
Rev. C. L.
I
Street
Approved for Chief B.I.
Zoning
B.I.
1U 6