HomeMy WebLinkAbout419 S Shields St - Permits - 08/21/1998Community Planning & Environmental Services
Building Permits &Inspections Division
BUILDING P E RM I T
P.O. Box 580
Citv of Fort Collins
Fort Collins, CO 80522-0580
221-6769
JOB SITE ADDRESS
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Permit Type
_
Work Type
Category TYPE
W
Proposed Use
RI � I I )l N.(I AI
.
Use Zone
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Permit Level
J
Subdivision
PUD ❑
Filing
FULL f=INAL.
Q
Subdivision/PUD
W
Building Valuation
J
Lot
Block Parcel No.
-. 196
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Last
First
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LEFT
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Z Address City CITY: �r (..�4 S , USE i Ix
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ANCI o RUOF IMI it
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21
Phone No.
22,I— 23'iM
Contractor License No.
ay
f l COI L INC)
4Sales Tax
95- 11 Ti �
he fOccupancy Load Occupanry Separation Area Sap
O
3 of Dwelling Units No. of Bedrooms No. of Bathrooms
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oP001 WI I I f CI AS;S A SHINC I r_S
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Me
V
W
Stock
CO
SETBACKS
REAR
RIGHT I
FRONT
TO SCHEDULE INSPECTIONS
(See reverse side for Inspection Description)
RF
(�9835511 l q l''Al—it Da eU(aU:iT 21 , 199t3
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 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 per Is not commenced, suspended, abandoned, or not
inspected within 180 daVom he a of such permit. I i
arc [IF RMtI Iss
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oi,
A
Date I N/A