HomeMy WebLinkAbout3805 Richmond Dr - Permits - 11/06/1992DEVELOPMENT SERVICES/BUILDING PERMITS & INSPECTIONS DIVISION
P.O. BOX 580, FORT COLLINS, CO 80622-0580
221-6769
BUILDING PERMIT
JOB SITE ADDRESS
Permit Type
Work Type
w
Proposed Use
Use Zone
a
Subdivision PUD
Filing
a
Subdivision/PUD
Lot
Block
Parcel No.
Last
First
M.I.
w
Address
City
T
U
State
Zip
Phone No.
Company Name
Contractor License No.
State
C
Address
City
I
z
0
Zip
Phone
Sales Tax No.
ACCOUNT
FEE DATE PAID
f
Building Square Footage No. of Stories Bldg. Height TOTAL FEES
Occupant Load Occupancy Separation Area Separation fire Containment
t3y, No. of Dwelling Units No. of Bedrooms No. of Bathrooms Fireplace/Stoves Basement Stock Plan Options
a
OText:
U
CA
5310' N10 vEil 6'E is _T.; 2
As a conditio f the issuance of a permit, 1 hereby declare that I am an owner
or the owner s d ent, authorized to perform the proposed work on the property
described he ein. I agree to comply with all the 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. 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.
re Dater --
` O
IAL - FILE/BLUE - OFFICE, CANARY - XAL ESTA6, PINK - APPLICANT, TAG - FIELD CARD
SITE SETBACKS
REAR �!
LEFT RIGHT
FRONT
CALL 221-6769
TO SCHEDULE INSPECTIONS
(See reverse side for
Inspection Description)
Electrical
Mechanical
Plumbing
AA 4061
AA 4G61
MIT $15.00'
$15.00
K. $15.00