HomeMy WebLinkAbout667 MANSFIELD DR - PERMITS - 10/23/1979CITY OF FORT COLLINS
APPLICATION FOR BUILDING PERMIT —SHORT FORM
Building Address 1067 N,-1/%S4�e!L
Date of Application 19
Name Q
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Mail Address /yl
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City �, Tel. No.
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Name
Address
City
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City License No.5 103 Tel. N -66
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
By ContractorB0')'L-0A0_ 0. WoAk1 4kj^
Class of Work
Plumbing
_Roofing
Heating
_Fencing
Electric
Sprink.
Gas Pipe
_Storm W
Sign
_Other
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Description of Work
Permit No.C Date issued
5 6 J Bldg. fee
V LUE
Other
Total c? jo
I nt. lot
Corner lot
Rev. C. L.
-Tad
5FS
Street
Approved for Chief B.I.
Zoning