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HomeMy WebLinkAbout1440 Edora Rd - Permits/Water Heater - 04/22/1991DEVELOPMENT SERVICES/BUILDING PERMITS & INSPECTIONS DIVISION SITE SETBACKS P.O. BOX 580, FORT COLLINS, CO 80522-0580 221-6769 REAR tya o BUILDING PERMIT JOB SITE ADDRESS LEFT 'RIGHT ' Permit Type •- WorkTypd". ' u "� Category Type F �' Ott up} Pr edU - ' Us io a Per Ldu"- nr i- u.-nun _u SEE Filing Subdivision ., SPUD PERMIT FEES Q Subdiviswn/PUD Building valuation OI.i.FRONT Lot Block Parcel No. ACCOUNT FEE DAIS PAID Last Firs[ M , Lot Area --BLDG--FERMI-T—FLAT-- 15,0C4 —9-W42;-Plat Cityv 3 SALES USE TA 0.00 910422 hue No. SIt1 Zip PAR` ' Phone No. ' •'�'a " _CITY Off St. Parking - -�--^----^-._�__ --- ¢ Comity Name Convac en N f'PLUMBINS ------------ CALL 221-6769 & HEATINGcity State ~es TO SCHEDULE INSPECTIONS (See reverse side for zilf " LN Phone ' ' V'' Tax NO. '� V _ _ Inspection Description) Gil Can pe Occupancy Group 9fnkler - Banding Square Footage No of Stories Bldg. Height TOTAL FEES FNP Occupant Load Occupancy Separation Area Separation Fire Containment 3 No. of Dwelling Units No. of BedroomsFireplace/Stoves Basement Stock Plan Options O pText: a WATER HEATER REPLACEMENT a - w O Tr TL sc,cil a,Ft _M1 V C• e_ rn l 6 a i 1ryr•i?tni ZBA Case No. BRA Case No. DEPARTMENTAL REVIEW Permit Date DEPARTMENT STATUS DATECONTRACTORS Permit No. - 0910940 APR 99 al OTC PER IT ISSFP1,mbing As a condition for the issuance of a permit, I hereby declare that I am .---------- 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 — "— — — — nical 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. _______ _ - -_ _- _ _- ____ _ ____-_ --- -- __-- --- - Signature Data ORIGINAL - FILE, BLUE - OFFICE, CANARY - SALESTAX. PINK - APPLICANT, TAG - FIELD CARD