HomeMy WebLinkAbout528 Skyline Dr - Permits - 04/17/1992r H DEVELOPMENT SERVICES/BUILDING PERMITS & INSPECTIONS DIVISION
P.O. BOX 580, FORT COLLINS, CO 80522-0580
221-6769
city U rt couins BUILDING PERMIT
JOB SITE ADDRESS
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Subdivision PUD D I Filing
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Cony�.tnv Name T
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Z Zip _ Phone
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Occupant Load
Occupancy Sepai
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No. of Dwelling Units
No. of Bedrooms
No. of Batten
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Building Valuation
Parcel No. ACCOUNT FEE DATE PRIG
M.I. _ t r. '. 4 - _;;y l ' Lot Area
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city t. ., _ _ _. LL'v _ Plat File No.
No. Off St. Parking
ctor Ligemse No..
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SITE SETBACKS
REAR
FRONT
RIGHT
State r: CALL 221-6769
TO SCHEDULE INSPECTIONS
Sales Tax No (See reverse side for
Inspection Description)
Occupancy Group Fire Sprinkler
No. of Stories Bldg. Height •t -,.
TOTAL FEES r t- _ .i 3
Area Separation Fire Containment
Fireplace/Stoves Basement Stock Plan Options
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As a conditio 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. 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 such permit.
"ure I Date
RI I IF - r1FFICF CANARY -CAI FSTAX PINK - APPI (CANT TAG - FIR n CARD
DEPARTMENT
Mechanical
Plumbing
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