HomeMy WebLinkAbout925 BITTERBRUSH LN - PERMITS - 9/20/1984U1ty 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
Name
Mail Address
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Phone F
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Name
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Address -
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License No.
Phone
Lot
Block
Filing Number
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Subdivision
PUD
DESCRIPTION OF WORK
Stock Options
Plan No.-_ Codes
Est. Total Cost
tincluding 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.
signed ----_- - date --
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— CLASS OF WORK —
New Alteration Addition Demolish Move
❑ ❑ ❑ ❑ ❑
Plbbg• Mech. Elec. Struct. Fire Prot. ❑
El ❑ ❑ ❑
Occ. Gr.
Type Const.
Use Zone
Use of Building
Floor Area
Height
No. Stories
Lot Area
Frontage
Occ. load
Occ. Change from
Plat File No. No. D.U.
Garage area Fin. Bsmt. area
Type heat No. Fireplaces or stoves
— RELEASES — Dates
tO
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ing
artment
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
^ —y-al - Appi,cant, Uiue - Ottice. Canary - Sales Tax Fink - Applicant. Tsg`- J1Idg. Insp
Street
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0
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Off -Street Parking
(No. Cars)
Interior Lot ❑
Corner Lot ❑
Reversed Corner Lot ❑
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Ca
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ZBA Case # Date
BBA Case # Date
Building Insp. Approval
by date
Permit No.
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Date d