HomeMy WebLinkAbout3500 S Shields St - Permits - 06/30/1994DEVELOPMENT SERVICES/BUILDING PERMITS & INSPECTIONS DIVISION
SITE SETBACKS
P.O. BOX 580, FORT COLLINS, CO 80522-0580
221-6761-6769
REAR
City o o tns BUILDING PERMIT
JOB SITE ADDRESS --
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LEFT RIGHT
Pennrt Type
Work Type Category Type
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Proposed Use
Use Zone Permit Level'
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Subdivision/PUD
Building valuation
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Block
Parcel No.
ACCOUNT
FEE
DATE PAID
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Lot Area
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State Zip
Phone No.
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Company Name
Contractor License NO.
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REQUIRED INSPECTIONS
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Address
City
State
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CALL 221-6769
TO SCHEDULE INSPECTIONS
Zin Phone Sales Tax No.
(See reverse side for
Construction Type Occupancy Group Fire Sprinkler
Inspection Description)
Building Square Footage
No. of Stories
Bldg. Height
TOTAL FEES
t^ 'r
Occupant Load
Occupancy Separation
Area Separation
Fire Containment
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3
No. of Dwelling Units
No. of Bedrooms
No. of Bathrooms
Fireplace/Stoves
Basement
Stock Plan
Options
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BBA Case No.
DEPARTMENTAL
REVIEW
Permit No
Permit Date
DEPARTMENT
STATUS
DATE
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Electrical
As a condition for the issuance of a permit, I hereby declare that I am an owner
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or the owner's agent, authorized to perform the proposed work on the property
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described herein. I agree to comply with all the requirements contained herein,
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
informatio . This permit shall become null and void if the work authorized by
such perm is not com ced, suspended, abandoned, or not inspected within
180 d ys rom the such permit.
Plumbing
Signature
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UHIGINAL - FILL, BLUE - UFI-ICL. CANAHY - SALLSIAX, FINK - AFFLICAN I, SAG - FILLU CAHU