HomeMy WebLinkAbout416 Peterson St - Permits/Plumbing - 06/08/1993ULVLL. TENT SERVICES/BUILDING PERMITS & INSPECTIONS DIVISION
P.O. BOX 580, FORT COLLINS, CO 80522-0580
SITE SETBACKS
221-6769
BUILDING PERMIT
REAR
JOB SITE ADDRESS
Permit Type `
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Work Type
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LEFT
RIGHT
Category Type
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Proposed Use
Use Zone
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Permit Lever
Subdivision PUD
Filing
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Subdivision/PUO
PERMIT FEES
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Building Valuation
Lot Block
Parcel No.
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Last
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First
ACCOUNT
FEE
DATE PAID
FRONT
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Address
City
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Lot Area
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CITY SALES USE TA
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Plat File No.
State
Zip
Phone No.
Company Name
Oft St. Parking
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Contractor 7Mcense No-
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Address
0-92
REQUIRED INSPECTIONS
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City
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State
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Phone
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CALL 221-6769
sales Tax No.
TO SCHEDULE INSPECTIONS
Conn-rniction i e
Type
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(See reverse side for
Occu ane Group
P Y P
Fire Sprinkler
Inspection Description)
Building Square Factor,
No. of Stories
Bldg. Height
QZ
occupant Load
TOTAL FEES
1
-
O
Occupancy Separation
Area separation
Fire Containment
0':
41
ONo.
of Dwelling Units No. of Bedrooms
No. of Bathrooms Fireplace/Stoves
Basement
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Stock Plan
Options
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Text:
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REPLACE DATER t-VIA`
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ZBA Case No. BBA Case No.
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" 721424
Permit Date
7UPiE 8, L993
DEPARTMENT
STATUS
DATE
.,
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As a condition for the issuance of a permit, I hereby declare that I am an owner
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Electrical
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
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
Mechanical
such permit is not commenced, suspended, abandoned, or not inspected within
180 days from the date of such permit.
signature
Date
Plumbing
ORIGINAL - FILE, BLUE - OFFICE. CANARY - SALESTAX, PINK -