HomeMy WebLinkAbout412 E Pitkin St - Permits/Addition or Alteration - 10/04/1991DEVELOPMENT SERVICES/BUILDING PERMITS & INSPECTIONS DIVISION SITE SETBACKS
1545Q�6- Ilk P.O. BOX 580, FORT COLLINS, CO 80522-0580 REAR
ELMMI 221-6769
;_ BUILDING PERMIT
)B SITE ADDRESS
WCategory Type LEFT RIGHT
Work Type
armit Type 18 00
(��reposed Use Use Zane Permit Level PERMIT FEES
1.
Filing
Subdivision ❑ PUD
obdivision/PUD Building Valuation �-•
FRONT
of Block Parcel No. ACCOUNT FEE DATE PAID
ast First
M.I. tLot Area
jO r Plat File No.
lddress City y'� pn - ,,
3tat Zip ' J Phone No. V\w(j, Off Sc Parking
7(�
,ompany Nam Contractor License No.
REQUIRED INSPECTIONS
address City State CALL 221-6769'
TO SCHEDULE INSPEC ONS
.;p Phone Sales Tax No. - (See reverse side fo
Inspection Descriptio I
,onstruction Type Occupancy Group Fire Sprinkler
3uilding Square Footage No. of Stories Bldg. Height TOTAL. FEES
Dccupant Load Occupancy Separation Area Separation Fire Containment
Vo. of Dwelling Units No. of Bedrooms Fireplace/Stoves Basement Stock Plan Options
Text:
&am t�-i'1 ran
Case No. BBA Case No.
DEPARTMENTAL REVIEW
it No. Permit Date DEPARTMENT STATUS DATE SUB CONTRACTORS
Electrical
As a- condition -for the_issuanee 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 Mechanical
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. Plumbing
ature �� / Date
3INAL - FILE, BLUE - OFFICE, CANARY - WESTAX, PINK - APPLICANT, TAG - FIELD CARD