HomeMy WebLinkAbout914 W LAKE ST - PERMITS - 12/16/1980CITY OF FORT COLLINS
APPLICATION FOR BUILDING PERMIT —SHORT FORM
Building Address q /'y f I_a, e
Date of Application
Name y
d
3
Mail Address p O f�7 sf
O
City J� , �j Tel. No. #e(, y3
o
Name pEj 61 i i'
R
Address '/ q G
City { �Q
U
City License No,-5-2Tel. 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, FIR RMP
ML, MM, BP, BL, HB, BG, C, IL, IG
Fire Zone 1, 2, 3
PUD
Signature of owner
By Contractor
Class of Work
Plumbing
_Roofing
Heating
_.Fencing —
Electric
_Sprink. —
Gas Pipe
_Storm W_
Sign
_Other
Total Value Labor & Mat.
Description of Work
rQ .lrC%L7 7
2)•V
ox /00 c-�
61�'A
Permit No.
Int. lot
Corner lot
Rev. C. L.
Street
Date issued
BMIA
Other
Total u
Approved for Chief B.I.
Zoning
B.I.
I