HomeMy WebLinkAbout925 COLUMBIA RD - PERMITS - 9/12/1979 (4)CITY OF FORT COLLINS
APPLICATION FOR BUILDING PERMIT -SHORT FORM
Building AddressG__, 4
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Date of Application _z_ <.- 19
Name
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Mail Address, �5�r � Ott-a-�"
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City E� �� 11._: Tel. No.,kz_Qez
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Name`s (k t.L- .-
16
Address' s
city
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City License No.u,_Tel. No._(-y7_O1?2
Occupancy Group A, B, C, D, E, F, G,
H, I, J Division 1, 2, 3, 4
Use Zone -RE, RL, RLM, RM, RH, RMP
ML, MM,, BP, BL, HB, BG, C, IL, IG
-
Fire Zone 1,�
PUD
Signature of owner
By Contractor ����—
7 Class of Work
Plumbing _Roofing
Heating
_Fencing
Electric
_Sprink.
Gas Pipe
_Storm W
Sign
_Other
Total Value Labor & Mat.
Description of Work
cti -( (? .. -t- { -
Permit No. Date issued
VAD (� 5 8Bldg. fee
1 _ Other
Total
Int. lot
Corner lot
Rev. C. L.
Street
Approved for Chief B.I.
Zoning
B.I.