HomeMy WebLinkAbout814 W Prospect Rd - Permits - 04/14/1992DEVELOPMENT SERVICES/BUILDING PERMITS & INSPECTIONS DIVISION
SITE SETBACKS
P.O. BOX 580, FORT COLLINS, CO 80522-0580
221-6769
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ttyo o s BUILDING PERMIT
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ACCOUNT
FEE
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REQUIRED INSPECTIONS
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CALL 221-6769
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TO SCHEDULE INSPECTIONS
Zip Phone ::� - Sales Tax+4o.
(See reverse side for
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Construction Type Occupancy Group Fire Sprinkler
Inspection Description)
Building Square Footage
No. of Stories
Bldg. Height
TOTAL FEES
169.74
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Occupant Load
Occupancy Separation
Area Separation
Fire Containment
No. of Dwelling Units
No. of Bedrooms
No. of Bathrooms
Fireplace/Stoves
Basement
Stock Plan
Options
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Case No.P
BBA Case No.
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Permit -q.y.,_
-cP�,fiTMENT
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As a cor he issuance of a permit, I hereby declare that I am an owner
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the oent, authorized to perform the proposed work on the property
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describI agree to comply with all the requirements contained herein,
Q4and
Mechanicalsuch
Cites, and State laws associated with such work. I understand that
pebe revoked in the event that issuance was based on incorrect
informas permit shell 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.
Plumbing
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Signature
Date
MGINAL�kRE, BLU - F ,'CANARY '- SALESTAX, PINK - APPLICANT, TAG - FIELD CARD