HomeMy WebLinkAbout419 10th St - Permits/Furnace - 10/06/1994JOB SITE ADDRESS_
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LOPMENT SERVICES/BUILDING PERMITS & INSPECTIONS DIVISION
P.O. BOX 580, FORT COLLINS, CO 80522-0580
221-6769
BUILDING PERMIT
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Filing
E3MERAL
No.
City FORT COLLINS
Phone NI22 1 _ 2605
Contractor U H-99.7
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223—H72- Sales Tax21 $a2
Occupancy Group Fire Sprinkler
No. of Stories Bldg, Height
ACCOUNT
BLDG PERMIT
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TOTAL FEES
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LEFT
FEE DATE PAID
17 ��( Lot Area
Plat File No.
¢ Occupant Load Occupancy Separation Area Separation Fire Containment
w No. of Dwelling Units No. of Bedrooms No. of Bathrooms Fireplace/Stoves Basement Stock Plan Options
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ZBA Case No. BBA
t194324f) dff, t-BER 6, 1994
permit No. TPermit Date
As a condition for the issuance of a permit, 4 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 permit is not commenced, suspended, abandoned, or not inspected within
180 days from the date of*ch permit.
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ORIGINAL � FIL ,BLUE -OFFICE
PINK'- APPLICANT, TAG - FIELD
DEPARTMENT
Off St. Parking
STATUS I DATE _
Electrical
SITE SETBACKS
REAR
FRONT
RIGHT
CALL 221-6769
TO SCHEDULE INSPECTIONS
(See reverse side for
Inspection Description)
I-L FNM Spi
Mechanical
Plumbing