HomeMy WebLinkAbout654 MANSFIELD DR - PERMITS - 9/12/1979CITY OF FORT COLLINS
APPLICATION FOR BUILDING PERMIT —SHORT FORM
Building Address Zp
Date of Application //� 197�
0
Name ern
3
Mail Address
O
Cit Qt Tel. o. a,�?
o
Nam
m
Addres p
c
Ci
0
U
City License No..5-2 $S Tel. No.
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 owner' 04, v
By Contractor ' s K/
Class of Work
Plumbing _Roofing �
Heating
_Fencing
Electric
_Sprink.
Gas Pipe
_.Storm W_
Sign
_Other
Total Value Labor & Mat.
Description of Work
Permit No. Date issued
Bldg. fee
VALUE
Other
Total
Int. lot
Corner lot
Rev. C. L.
Street .
Approved for Chief B.I.
Zoning
B.I.