HomeMy WebLinkAbout1109 Kirkwood Dr - Permits/Gas - Log, Line, Pipe - 12/03/1991DEVELOPMENT SERVICES/BUILDING PERMITS & INSPECTIONS DIVISION
SITE SETBACKS
P.O. BOX 580, FORT COLLINS, CO 80522-0580
221-6769
REAR
�o BUILDING PERMIT
JOB SITE ADDRESS 1109 KIRKWOOD OR
LEFT RIGHT
'6A5pLOG/GAS LIGHTER
IT4Pe cate�pIJC°iLE FAMILY DETACHED
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Use Zone pernf�Lti/FINAL
Subdivision PUD FilingMIT
FEES
Q
sub,ivoion/PUD
325
w
FRONT
J
we
Block
Parcel No
87193-09-160
ACCOUNT
PEE
DATE PAID
�KAMM Fit RAYMOND m.l, F
r11galuation
G PERMIT FLAT
15.00
911203`OtAraaY
Plat F;e No.
SALES USE- TA
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—911243
�1109 KIRKWOOD DR cty FT COLLINS
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Off St. Parking
Phone No.
storeCD Zip 80525 482-3655
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REQUIRED INSPECTIONS
o
D^W�I1tTE eWATER PLUMBING Contractor License 92
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Address City State
1917 MCCALLISTER FT COLLINS CO
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CALL 221-6769
ToSCHEDULE INSPECTIONS
OZ
Zip Phone Sales Tax No.
(See reverse side for
80521 221-0905 22427
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Inspection Description)
Construction Type Occupancy Group Fire Sprinkler
GL LG
Bnldng Square Peonage
No. of Stories
Bldg. Height
TOTAL FEES
15.00
Sc
¢
Occupant Load
Occupancy Separation
Area Separation
Fire Containment
3
LL
No. of Owell;ng Units
No. of Bedrooms
Fireplace/Stoves
Baseman[
Stock Plan
Options
p
_
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r"''" ^"
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a
Text:
GAS PIPING AND GAS LOG INSTALLATION
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Q
ZBA Case No.
BBA Case No.
k
Permit No, 0913420
PamteEEMBER 3, 1991
DEPARTMENT
ST
A
• " •'
Electrical
As a condition for the issuance of a permit, I hereby declare that I am
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an owner or the owner's agent, authorized to perform the proposed
work on the property described herein. I agree to comply with all the
Mechanical
requirements contained herein, and City ordinances, and State laws
associated with such work. I understand that such permit may be
revoked in the event that issuance was based on incorrect information.
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Plumbing
*
Sgnature Date
ORIGINAL - FILE, BLUE - OFFICE, CANARY - SALESTAX. PINK - APPLICANT, TAG - FIELD CARD