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HomeMy WebLinkAbout914 S COLLEGE AVE - PERMITS - 7/14/1987City of Fort Collins BUILDING INSPECTION DIVISION. APPLICATION FOR BUILDING PERMIT AND CERTIFICATE OF OCCUPANCY Applicant complete this part of form only. Press firmly using ball point pen. Job Address ' k. poilgee Name ( L m c Mail Address o��ClcG 3 o T"0o[L./vs` a Phone NameO D(•j o V Address ' m c U r�/t r License No. f, l�r 2 Phone Z ©7 Contractor Sales Tax No. 2 Lot Block Filing Number d Subdivision a PUD Jz—Zq —LeW DESCRIPTION OF WORK Stock Options Plan No. Codes Est. Total Cost i�e j including labor, material, profit) I hereby acknowledge that I have read this application and state that the above is correct and agree to comply with all city ordinances and state laws regulating building construction. %/�yl signed date — CLASS OF WORK — New Altera n ❑ Addition Demolish ❑ ❑ Move ❑ Plbg. Mech. ❑ ❑ Elec. Struct. ❑ ❑ Fire Prot. ❑ Occ. Gr, Type Const. U Zone Use of Building Floor Area ig No. Stori Lo re nt Occ. load c . C ng fro Plat File Garage area F . Bsmt. area Type heat No. Fireplaces or stoves — RELEASES — Dates Zoning Engineering Fire Department Electric Department Water & Sewer Plan Review Special Conditions: Valuation FEES Plan Check Permit Parkland City Sales Tax St. Oversizing Water Plant Investment Sewer Plant Investment Storm Drainage Electric Underground Total Fees Off -Street Parking (No. Cars) Interior Lot ❑ Corner Lot ❑ Reversed Corner Lot ❑ m `m cc ( ) f I m 1 d n G in c 0 �Ja Street PRMTS 25.00 TAXPM 9.63 r TOTL 34.63 CLACK 3 N21743 02:27 A 0 JUL.14'$7 a ZBA Case # Date BBA Case # Date Building Insp. pproval date bye/q ��// v Permit No. Date .63 DistributionOriginal - Applicant: Blue - Office; Canary - Sales Tax: Pink - Applicant; Tag - Bldg. Insp.