HomeMy WebLinkAbout712 Pearl St - Permits - 09/16/1991DEVELOPMENT SERVICES/BUILDING PERMITS & INSPECTIONS DIVISION
SITE SETBACKS
w-P.O. BOX 580, FORT COLLINS, CO 80522-0580
221-6769
REAR
�o BUILDING PERMIT
LEFT RIGHT
JOB SITE ADDRESS
Permit Type
Work Type Category Type
2
WATER HEA ER
NEW FAMILY DETACHED
w
Proposed Use
Use Zone Permit Level
J
Subdivision ❑ PUD
FilingPERMIT
FEES
Subdivisian PUD
/
Building Valuation
y'
329
FRONT
Lot
Block
Parcel No.
ACCOUNT
FEE
DATE PAID
Last
First
M.I.
Lot Area
BLDG PERMIT FLAT
1S,00
910916
Address
City
Plat File No.
3
CITY SALES USE TA
0.00
910916
O
State
In
Zip
Phone No.
Off St. Parking
Company Name
Contractor License No.
REQUIRED INSPECTIONS
O
H
_
Q
CALL 221-6769
Address
City
State
Z
TO SCHE DULE INSPECTIONS
Phone
Sales Tax No.
�Zip
-
(See reverse side for
7
I q71
Inspection Description)
Construction Type
Occupancy Group
Fire Sprinkler
- -
Building Square Footage
No. of Stories
Bldg. Height
TOTAL FEES
FNP
Occupant Load
Occupancy Separation
Area Separation
Fire Containment
u_
No. of Dwelling Units
No. of Bedrooms
Fireplace/Stoves
Basement
Stock Plan
Options-
O
Z
O
Text:
a
ELECTRIC WATER HEATER
ZEIA Case No.
BBA Case No.
DEPARTMENTAL
REVIEW
Permit No.
0912474
Permit Date
5EPTEMBER 16 199
DEPARTMENT
STATUS
E3ATECONTRACTORS
Electrical
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
Mechanical
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.
Plumbing
Signature
Date
ORIGINAL - FILE. BLUE - OFFICE. CANARY - SALFSTAX. PINK - APPI (CANT TAn - FIFI
in CARn