HomeMy WebLinkAbout753 Parkview Dr - Permits - 05/08/1991DEVELOPMENT SERVICES/BUILDING PERMITS & INSPECTIONS DIVISION SITE SETBACKS /
} P.O. BOX 580, FORT COLLINS, CO 80522-0580 v/
221-6769 REAR
rio s BUILDING PERMIT
JOB SITE ADDRESS
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Permit T e
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Subdivision ❑ PUD Filing
PERMIT FEES
J Subdivision/PUD
Q Building Valuation
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FRONT
Lot
Block
Parcel No.
ACCOUNT
FEE
DATEPAID
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First
Lot Area
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Plat File No.
State ,..
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Phone No _
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Off St. Parking
Cpmpany.[�amef - _ _ _
Contractor License No.
REQUIRED INSPECTIONS
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CALL 221-6769
Address
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TO SCHEDULE INSPECTIONS
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Sales Tax No., -
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(See reverse side for
Inspection Description)
Construction Type
Occupancy Group
Fire Sprinkler
Building Square Footage
No. of Stories
Bldg. Height
TOTAL FEES
Y Occu and Load
¢ P Occupancy Separation Area Separation Fire Containment
O No. of Dwelling Units No. of Bedrooms Fireplace/Stoves Basement Stock Plan Options
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LBA Lase No. I BBA Case No.
1
Permit No. — Perm pa DEPARTMENT STATUS DATE
Electrical
A.s-a-con - ion. -for the issuance of a -permit, 1-hereby- declare that 1 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 Mecham al
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 #
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