HomeMy WebLinkAbout4313 Revere Ct - Permits - 11/13/1989DEVELOPMENT SERVICES/BUILDING PERMITS & INSPECTIONS DIVISION
X/ P.O. BOX 580, FORT COLLINS, CO 80522-0580
221-6760
cltt a BUILDING PERMIT
JOB SITE ADDRESS
Pi — Type Category Type. -_ - -
� LYpe WorkT'
w Proposed Use Use Zone Permit Level
S bd p n Filing
U iwsion U
Q Subdivision/PUD
J
w
Address
Z
=
LL
O
State
Zip
Company Name _
o
Q
Address
Z
Z
0
Zip
Construction Type
Y
Building Square Footage
Block
First
No,
Phone No -
Contractor License No.
City
Sales Tax No.
Occupant Load Occupancy Separation
O
3
ty No. of Dwelling Units No. of Bedrooms
O
Z
O Text -
a
J
ti
w
O
No. of
Area
ZBA Case No. BBA Case No.
Permit No ._ -. - PermittPaw
vim+:
As a condition for the issuance of a permit, I hereby declare that I am
an owner or the owners 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.
Signature -'/ n 1 t?ems' c Date
Building Valuation
ACCOUNT FEE DATE Pil
Plan Check
Bldg. Permit
Parkland
City Sales Tax
Street Oversizing - -.
Water Plant Investment Fee
Sewer Plant Fee
Electric Underground
Water Rights
Trunkline
Misc.
LEFT
SITE SETBACKS
REAR
FRONT
RIGHT
CALL 221-6769
TO SCHEDULE INSPECTIONS
(See reverse side for
Inspection Description)
TOTAL FEES ,
Fire Containment
Stock Plan Options
DEPARTMENT Su &DATE
Zoning - "' Electrical
Engineering
Water & Sewer
Light & PrNver
Street Oversizing Mechanical
Storm Drainage
Plan Check _
Poudre Fire Authority
Latimer County Health Plumbing