HomeMy WebLinkAbout626 9th St - Permits/Furnace - 10/12/1994DEVELOPMENT SERVICES/BUILDING PERMITS & INSPECTIONS DIVISION SITE SETBACKS
P.O. BOX 580, FORT COLLINS, CO 80522-0580
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221-6769 REAR
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Subdivision PUD FilingPERMIT FEES
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Lot Block Parcel No. ACCOUNT FEE DATE PAID
Last First M.I. .. Lot Area
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CO 8G524 4E2'9EG
Company Name Contractor Lic ns of
o 3L- TI?"E SHEET "?FTGL - • • INSPECTIONS
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Q Address City State CALL 221-6769
Gjn WVINE DR FTCOLLINS C_ TO SCHEDULE INSPECTIONS
Z Zip Phone Sales Tax
0 81152i 493_3796 1�2�3 (See reverse side for
Inspection Description)
Construction Type Occupancy Group Fire Sprinkler
Building Square Footage No. of Stories Bldg. Height
TOTAL FEES 15.00 J.L r• +. -�1
¢ Occupant Load Occupancy Separation Area Separation Fire Containment
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3 No. of Dwelling Units No. of Bedrooms No. of Bathrooms Fireplace/Stoves Basement Stock Plan Options
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ZBA Case No. BBA Case No.
Permit No. Permit Date
943'4_ GCTOEER 12, :4G44
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. 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.
Signature Date
ORIGINAL - FILE. BLUE - OFFICE. CANARY - SALESTAX. PINK - APPLICANT. TAG - FIELD CARD
DEPARTMENT
Electrical
Mechanical
Plumbing