HomeMy WebLinkAbout640 S Shields St - Permits - 11/21/1989DEVELOPMENT SERVICES/BUILDING PERMITS & INSPECTIONS DIVISION
P.O. BOX 580, FORT COLLINS, CO 80522-0580
221-6769
Cityof� BUILDING PERMIT
JOB SITE ADDRESS =
F Permit Type Work Type ,; _. ,. Ca[egory Type
wProposed Use.. Use Zone Permit Level
Subdivision n PUD n Filing 11
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Subdivision/PUD
Building Valuation
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Lot
Block
Parcel No.
ACCOUNT
FEE
DATE PAID
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First - -.... . ,.
M.I.
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Address
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State--
Zip
Phone No.
Company Name - - - - -
ContractorLicenw No.
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QAddress
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City- - _- -
State.
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Zip -...
Phone , ,. -
Sales Tax No-
Construction Type
Occupancy Group
Fire Sprinkler
Building Square Footage
No. of Stories
Bldg. Height
TOTAL FEES
Y
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Load ant
Occupant
Occupancy Separation
Area Separation
Fire Containment
3
No. of Dwelling Units
No. of Bedrooms
Fireplace; Staves
Basement
Stock Plan
Options
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zse No. BGA Case No.
DEPARTMENTAL
No Permit pate -.
DEPARTMENT STATUS 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.
re _ Date
ORIGINAL - FILE, BLUE - OFFICE. CANARY - SALFS TAX PINK - APPI IrANT TAr. rim n rean
LEFT
SETBACKS
REAR
FRONT
RIGHT
CALL 221-6769
TO SCHEDULE INSPECTIONS
(See reverse side for
Inspection Description)
Mechanical
Plumbing