HomeMy WebLinkAbout605 W Prospect Rd - Permits - 08/08/1989DEVELOPMENT SERVICES/BUILDING PERMITS & INSPECTIONS DIVISION
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P.O. BOX 580, FORT COLLINS, CO 80522-0580
221-6760
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City of FodCo ` 3 BUILDING PERMIT
LEFT RIGHT
JOB SITE ADDRESS
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Work Type_ .. Category Type _
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Use Zone Per- Level
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Subdivision PUD FilingPER
MIT FEES
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Subdivision/PUD
Building Valuation
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Lot
Block
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ACCOUNT
FEE
DATE PAID
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First
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M.I.
Plan Check
Lot :Area
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Bldg. Permit
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Falkland
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Add[eLys
City
Plat File No.
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INS
City Sales Tax
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Street Oversizing
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State_. Zip
Phone No.
Off St. Parking
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Water Plant Investment Fee
Sewer Plant Fee
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Cgon any Namg r
Contractor License -No.
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Electric Underground
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Address. _
city _ Ste te
Water Rights
CALL 221-6769
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Trunkline
TO SCHEDULE INSPECTIONS
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Misc.
(See reverse side for
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Phone _
sales rax No.
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Inspection Description)
Construction Type
Occupancy Group
Fire Sprinkler
Building Square Footage
No. of Stories
Bldg. Height
TOTAL FEES,3
4¢
Occupant Load Occupancy Separation
Area Separation
Fire Containment
ty
No. of Dwelling Units
No. of Bedrooms
Fireplace/Stoves
Basement
Stock Plan
Options
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ZBA Case No.
BBA Case No.
DEPARTMENTAL
Permit No. Permit p(e
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DEPARTMENT
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:.:i DATE'CONTRACTORS
Zoning
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Electrical
As a condition for the issuance of a permit, I hereby declare that I am
Engineering
an owner or the owner's agent, authorized to perform the proposed
water x Sewer
on the property described herein. I agree to comply with all the
P p y g
Power
Lighwork
Sire
Street Oversizing
Mechay ical
requirements contained herein, and City ordinances, and State laws
Storm Drainage
associated with such work. I understand that such permit may be
Plan Check
revoked in the event that issuance was based on incorrect information.
Poudre Fire Authority
Plumbing
Larimer County Health
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Signature
Date ,r�