HomeMy WebLinkAbout1616 Mathews St - Permits - 12/30/1999 (2)DEVELOPMENT SERVICES/BUILDING PERMITS & INSPECTIONS DIVISION
SITE SETBACKS
P.O. BOX 580, FORT COLLINS, CO 80522-0580
4ft 221-6769
REAR
t._:_ BUILDING PERMIT
JOB SITE ADDRESS 1E1E. MATHEWS R-
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Subdivision PUD Filing
PERMIT FEES
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Wilding Valuation
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Block
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DATE PAID
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Zip
8052521-1119
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Off St Parking
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Company Name
Conuactor License NoREQUIRED
INSPECTIONS
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Atldress
City
State
CALL 221-6769
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TO SCHEDULE INSPECTIONS
ZIP
Phone
sales Tax No.
(See reverse side for
Inspection Description)
77m
occupancy Group
Fire Sprinkler
age
No. of Stories
Bldg . Height
iii
TOTAL FEES
15.00
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Ocmpant Lead
Occupancy Separation
Area Separation
P
File Containment
12AUG 3 H_9316
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No_ of Dwelling Uni¢
No. of Bedrooms
No. of Bathrooms
Fireplace/Stoves
Basement
Stock Plan
Options
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is `: 14 Y 7 STORAPE ON PRIOPERT`*' LINE
INSPECTION OF FIREWAtL S/8 TYPE %
APITIUE i`.CJ
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ZBA Case No. BBA Case No.
Permit No Permi{,Dyuuyr _el 199 `
0932_S7 a
'. ,DEPARTMENT
STATUS
DATE
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As a condition for the issuance of a permit, I hereby declare that I am an owner
12 / 9>
- `-
Electrical
or the owner's agent, authorized to perform the proposed work on the property
PL CH`
PASSEL)
93081e
described herein. I agree to comply with all the requirements contained herein,
/9
and City ordinances, and State laws associated with such work.I understand that
Mechanical
such permit may be revoked in the event that issuance was based on incorrect
information. This permit shall become null and void if the work authorized by
such permit is not commenced, suspended, abandoned, or not inspected within
180 days from the date of such permit.
Signature
Plumbing
ORIGINAL
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