HomeMy WebLinkAbout2836 Adobe Dr - Permits/Mechanical - 07/15/1992('ORIGINAL
DEVELOPMENT SERVICES/BUILDING PERMITS & INSPECTIONS DIVISION
SITE SETBACKS
P.O. BOX 580, FORT COLLINS, CO 80522-0580
221-6769
4
REAR
�a� 1
ty ot lhort LownBUILDING PERMIT
LEFT .,- RIGHT
JOB SITE ADDRESS
Permit Type
Mrk Type Category Type
Er
MECHANICAL
ALTERATION SINGLE FAMILY DETACH D
Proposed Use
Use Zone Permit Loyal
RESIDENTIAL
FULL/FINAL
Subdivision PUD Filing
N
divi
Subsion/PUD
Building Valuation
Fry❑!+
568
FRONT
Lot
Block
Panel No.
ACCOUNT
FEE
DATE PAID
Last
First
M.I.
Lot Area
PALMIERI
LINDA
BLDG PERMIT FLAT
15.00
w
`CITY`SALES USE TIT
0.00
Address
city
Plat File No,
3
2836 ADOBE OR
FT COLLINS
State
Zip
Phone No.
of St. Parkin
CO
80525
___ _ _ ___
_ _
Company Name
Contractor License No.
REQUIRED
°CITY
& SUBURBAN HTG
H-1124
Address
City
State
CALL 221-6769
-
6414 S FLORENCE WAY
ENGLEWOOD
CO
TO SCHEDULE INSPECTIONS
°
- - -
-
(See reverse side for
zip
Phaia sales Tax No.
850-7674
_ _ _ _
_ -_
Inspection Description)
Construction Type
Occupancy Group
Fire Sprinkler
FNM
Building Square Footage
No. of Stones
Bldg, Heigh[
TOTAL FEES
15.00
2
Occupant Load
Occupancy Separation
Area Separation
Fire Containment
LL
No. of Dwelling Units
No. of Bedrooms
No. of Bathrooms
Fireplace/Stoves
Basement
Stock Plan
Options
O
I
Z
'-0
Text:
INSTALLATION OF EVAP COOLER
I
a
UY
�4
92 HH 1
MA Case No,
BBA Case No.
Permit
Pert Data
JULY 15 1992
DEPARTMENT
STATUS DATE
Chbaim
Permit No.
092 840
Electrical i
ARMUE $15.00 =•s -•
As a condition d the issuance of a permit, 1 hereby declare that I am an owner
or the owner's agent, authorized to perform the proposed work on the property
`"- " -" - -"- -` -
-` - --
-
CHECK $15.00
described herein. I agree to comply with all the requirements contained herein,
and Cityordinances, and State laws associated with such work. I understand that
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"- — ---- -
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Mechanical
such permit may be revoked in the event that issuance was based on incorrect
information. This ermit shall become null and void if the work authorized by
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- -' -
scommenced, suspended, abandoned, or not inspected within
s of suc permit.
._ _ _ _ _ - -
If
- - - _
_
- .
Plumhing
Signature
Date
FILE. BLUE - OFFICE. CANARY - SALESTAX, PINK - APPLICANT. TAG - FIELD CARD