HomeMy WebLinkAbout805 S Shields St - Permits - 04/10/1998DEVELOPMENT SERVICES/BUILDING PERMITS & INSPECTIONS DIVISION
SITE SETBACKS
P.O. BOX 580, FORT COLLINS, CO 80522-0580
221-6761-6769
REAR
two rt o> BUILDING PERMIT
JOB SITE ADDRESS-�
LEFT RIGHT
Permit Type
Work Type Category Type
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Use Zone Permit Level
Subdivision PUD FilingPERMIT
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Subdivision/PUD
Building Valuation
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Lot
Block
Parcel No.
ACCOUNT
FEE
DATE PAID
Last
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Lot Area
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City
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Company Narne
Contractor License No.
• •INSPECTIONS
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CALL 221-6769
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TO SCHEDULE INSPECTIONS
(See reverse side for
Zip
Phone Sales Tax No.
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Inspection Description)
Construction Type
Occupancy Group
Fire Sprinkler
Building Square Footage
No. of Stories
Bldg. Height
TOTAL FEES
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Occupant Load
Occupancy Separation
Area Separation Fire Containment
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3
No. of Dwelling Units No. of Bedrooms
Fireplace/stoves
easement Stock Plan
Options
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ZBA Case No.
BBA Case No.
Permit No
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Perm Date fir, .
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DEPARTMENT
STATUS
DATE0_7CONTRACTORS
Electrical
_ _ _
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Asa co dition 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
Mechanical
-
associated with such work. I understand that such permit may be
revoked in the event that issuance was based on incorrect information.
Plumbing
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Signature
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Date
ORIGINAL - FILE BLUE - OFFICE' CANARY - SALESTAX. PINK - APPLICANT, TAG - FIELD CARD