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914 S COLLEGE AVE - PERMITS - 7/14/1987
City 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.