HomeMy WebLinkAbout925 COLUMBIA RD - PERMITS - 9/12/1979 (5)CITY OF FORT COLLINS
APPLICATION FOR BUILDING PERMIT —SHORT FORM
Building Address3
Date of Application 1 Z Sv 19 -71
Name _---
3
Mail Address � _ ice, is
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City, <e�I�. —s Tel. No�/g2_D4Z
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Name
AddresCa s q s
city
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City License No. Lgv Tel. No.y-Sz �s z
Occupancy Group A, B, C, D, E, F, G,
H, I, J Division 1, 2, 3, 4
Use Zone —RE, RL, RLM, RM, RH, R , RMP
ML, MM, BP, BL, HB, BG, C, IL, IG
Fire Zone 1,
PUD
Signature of s
owner �� • 4,_r
By Contractor
Class of Work
Plumbing
_Roofing
Heating
v
_Fencing —
Electric
—Sprink.
Gas Pipe
_Storm W—
Sign
_Other
Permit 6 No. Date issued
F3 7 Idg. fee
VALUE
Other
Total
Int, lot
Total Value Labor & Mat. 1 corner lot
Description of Work
i
3�
Rev. C. L.
Street
Approved for Chief B.I.
Zoning
B.I. 6