HomeMy WebLinkAbout913 BOLTZ DR - PERMITS - 9/6/1979CITY OF FORT COLLINS
APPLICATION FOR BUILDING PERMIT —SHORT FORM
Building Address Yr 3 is LTZ D
Date of Application 9 _ G 19 7
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Name' ,co.✓
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Mail Address 7j,3 60 A le
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City . t.vtir S Tel.
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Name
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Address 6
City
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City License No. _a(0Tel. No. -/gp
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 o
By Contractor
Class of Work
Plumbing
_Roofing
Heating
_Fencing
Electric
—Sprink.
Gas Pipe
_Storm W
Sign
_Other
Total V Iue Labor
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Description of Work
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vvner� �.� -'/ a
CC C�Cr�clr% Graf
Permit No.
Pate issued
VALUE
01)
Other
Total , rJ7)
Int. lot _
Corner lot
Rev. C. L.
Street
Approved for Chief B.I.
Zoning
B.I. /yyw