HomeMy WebLinkAbout618 Republic Dr - Permits - 09/01/1989DEVELOPMENT SERVICES/BUILDING PERMITS & INSPECTIONS DIVISION
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P.O. BOX 580, FORT COLLINS, CO 80522-0580
221-6760
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JOB SITE ADDRESS
Permit Type work Type + Category Type
w Proposed Use Use Zone I Permit Level
Subdivision
PUD
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Subdivision/PUD
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Lot
Block
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Address
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State-
Zip
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Filing
Parcel No
MI.
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License No.
City State
Phone Sales Tax No.
Occupancy Group Fire Sprinkler
Building Square Footage No. of Stories Bldg. Height
Occupant Load Occupancy Separation Area Separation
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ZBA Case No. BBA Case No.
Permit No _ IPermit Date- -
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
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 Date
Building Valuation
ACCOUNT
Plan Check
Bldg. Permit
Parkland
City Sales Tax
Street Oversizing
Water Plant Investment Fee
Sewer Plant Fee
Electric Underground
Water Rights
Trunkline
Misc.
TOTAL FEES
Fire Containment
FEE DATE PAID
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DEPARTMENT I STATUS I DATE
SITE SETBACKS
REAR
LEFT
RIGHT
FRONT
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No.
Parking
CEMEMM
CALL 221-6769
TO SCHEDULE INSPECTIONS
(See reverse side for
Inspection Description)
Zoning Electrical
Engineering
Water & Sewer
Light & Power
Street Oversizing Mechanic
Storm Drainage
Plan Check
Poudre Fire Authority
Latimer County Health Plumbing