HomeMy WebLinkAbout419 Tedmon Dr - Permits - 11/04/1991m3 DEVELOPMENT SERVICES/BUILDING PERMITS & INSPECTIONS DIVISION
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P.O. BOX 580, FORT COLLINS, CO 80522-0580
221-6769
itv of lbrt Coffins BUILDING PERMIT
JOB SITE ADDRESS 419 TEDMON DR
Permit Type Work T e Cate y 7 e LEFT
CyflNICAL ALRATION v LE =A?ILY uETACHED
w Proposed Use Use Zone Per evel
a REEiDEN?iA'� �LL;FINAL
Subdivision PL'^ Filing t
Q Subdivision/PUD
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APT
w Address
3 14,E FREEDOM'. L N
O State Zip
LJ 80826
¢ Company Name
o POILIDRE VA' LEY AIR
Q Address
812 STDCK. ON
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Building Square Footage
Occupant Load
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u. No. of Dwelling Units No. of Bi
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Z
o Te;g;JRNA'H REPLACEMENT
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No,
ALAN
City
FOZT COLLINS
Phone No.
Contractor License No
S-837
City
FT CJLLINS
So
Phone 493-2i)50
+-�
Sales Tax4232
1
Occupancy Group
Fire Sprinkler
No. of Stories
Bldg. Height
Occupancy Separation
Area Separation
rooms
Fireplace/Staves
Basement
3se No. / I BBA Case No.
No. 09101 12SA1.% PermIllbVEMBER 41 1991
As a condirtidfl 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.
RLI IF
I
PINK - APPLICANT TAG - FIELD CARD
Building Valuation
ACCOUNT FEE I DATE PAID
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L'LL;'J' PERMIT FLAT ai_)() �rlil{3Lot Area
4
L I I Y SALES USE TA 0:00 9111041 Plat File No.
Off St. Parking
SITE SETBACKS
REAR
FRONT
RIGHT
CALL 221-6769
JJ` TO SCHEDULE INSPECTIONS
(See reverse side for
Inspection Description)
TOTAL FEES 1 15.00 ,.„ We
Fire Containment
Stock Plan Options
DEPARTMENT