HomeMy WebLinkAbout4225 Stoney Creek Dr - Permits - 06/11/1992DEVELOPMENT SERVICES/BUILDING PERMITS & INSPECTIONS DIVISION
SITE SETBACKS
P.O. BOX 580, FORT COLLINS, CO 80522-0580
221-6769
REAR
City of U BUILDING PERMIT
- LEFT - NIGHT
JOB SITE ADDRESS
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Permit Type
Work Type Category Type
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Proposed Use
Use Zone Permit Level
Subdivision PUD Filing
Q
Subdivision/PUD
Building Valuation
..-
-
FRONT
Lot
Block
Parcel No.
ACCOUNT
FEE
DATE PAID:
Last
First
M.I.
Lot Area
ZAddress-
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-
City
Plat File No.
iV
-
- -
State
Zip
Phone No.
Off St. Parking
Company Name
Contractor License No
Address
City
State
Q
- _
_
CALL 2., 1-6769
_
_
TO SCHEDULE INSPECTIONS
o
(See reverse side for
zip
Phone Sales Tax No.
Inspection Description)
Construction Type
Occupancy Group
Fire Sprinkler
Building Square Footage
No. of Stories
Bldg. Height
TOTAL FEES
_
6
_-
Occupant Load Occupancy Separation
Area Separation
Fire Containment
V
u_
No. of Dwelling Units No. of Bedrooms No of Bathrooms Fireplace/Stoves
Basement
Stock Plan Options
OText:
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N
ZBA Case No.
BBA Case No.
,
Permit No
Permit Date
DEPARTMENT
STATUS
DATE
•
Electrical
As a condition for the issuance of a permit, I hereby declare that 1 am an owner
or the owner's agent, authorized to perform the proposed work on the property
9 P P P P Y
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described herein. I agree to comply with all the requirements contained herein,
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and City ordinances, and State laws associated with such work.I understand that
_ _ _
Mechanical
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 pot commenced, suspended, abandoned, or not inspected within
180 d s from a of permit.
Plumbing
Signature
Date�Z
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