HomeMy WebLinkAbout3820 S Timberline Rd - Permits - 05/19/1993 (2)DEVELOPMENT SERVICES/BUILDING PERMITS & INSPECTIONS DIVISION
SITE SETBACKS
P.O. BOX 580, FORT COLLINS, CO 80522-0580
6a 221-6769
REAR
� BUILDING PERMIT
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JOB SITE ADDRESS
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LEFT RIGHT
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Parmrt Type
Work Type
Category Type
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NEWily
Detached
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Proposed Use
Use Zone
t Level
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Subdivision PUD
Filing
PERMIT FEES
Subdivision/PUD
Q
Building valuation
2670
FRONT
Lot
Block
Parcel No.
ACCOUNT
FEE
DATE PAID
= 9— 7-6 ;
Last
First
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Lot Area
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City
Plat File No.
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State
Zip
Phone No.
Off St. Parking
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Company Name
Contractor License No -
REQUIRED INSPECTIONS
-
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Addn> s
City
State
CALL 221-6769
of
TO SCHEDULE INSPECTIONS
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(See reverse side for
zip
Phone
Sales Tax No.
V
Inspection Description)
Construction Type
Occupancy Group
Fire Sprinkler
Building Square Footage
No. of Stories
Bldg- Height
TOTAL FEES
15.00
ISS
Occupant Load Occupancy Separation
Area Separation
Fire Containment
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No. of Dwelling Units
No- of Bedrooms
No. of Bathrooms
Fireplace/Stoves
Basement
Stock Plan
Options
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ZBA Case No.
BBA Case No.
•
Pcnnit No.
09,31240
Permit Date
MAY 19, 1993
DEPARTMENT
STATUS
DATE
•
•
Electrical
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 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
information. This permit shall become null and void if the work authorized by
such permit is not commenced, suspended, abandoned, or not inspected within
ISO days from the date of such permit.
Plumbing
Signature
Date
ORIGINAL - FILE, BLUE - OFFICE, CANARY - SALESTAX. PINK - APPLICANT. TAG - FIELD CARD