HomeMy WebLinkAbout4524 Maxwell Dr - Permits - 12/06/1999DEVELOPMENT SERVICES/BUILDING PERMITS & INSPECTIONS DIVISION
SITE SETBACKS
P.O. BOX 580, FORT COLLINS, CO 80522-0580
4ft 221-6769
IPERMIT
REAR
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LEFT RIGHT
JOB SITE ADDRESS
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Permit Type
Work Type Category Type
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Proposed Use
Use Zone Permit Level
ESIDENTIAL
FULL/FINAL
Subdivision PUD Filing
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Subdivision/PUD
Valuation
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1295
FRONT
Lot
Block
Parcel No.__
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ACCOUNT005
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DATE PAID
Last
First
MI.
Lot Area
6 PERMIT FLAT
15.00^z
`ISALES USE TA
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Addmaa
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Pla`File N°.
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state Zip
Phone No,
Off St. Parking
Company Name
Contractor License No.
• • •
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Address
City
state
CALL 221-6769
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TO SCHEDULE INSPECTIONS
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(See reverse side for
Zap
Phone
Sales T.. No.
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Inspection Description)
Construction Type
Occupancy Group
Fire Sprinkler
Building Square Footage
No. of Stories
Bldg. Height
j TOTAL FEES
ISS
Occupant Load
Occupancy Separation
Area Separation
Fire Containment
3
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No. of Dwelling Units
No. of Bedrooms
Fireplace/Stoves
Basement
Stock Plan
Options
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:LD
ERGROUNDiSPRINKLER SYSTEM
'a
ORK PERFORMED BY MODERN SPRINKLER SYSTEM
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-
ZBA Case No.
BRA Case No.
DEPARTMENT
STATUS
DATETRr
Permit No
Permit Data I
• •
0900368
MARCH 28 1990
OTC PERM
T ISS
Electrical
I
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
Mechanical
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.
Plumbing
Signature
Data
ORIGINAL - FILE, BLUE - OFFICE. CANARY - SALESTAX, PINK - APPLICANT, TAG - FIELD CARD