HomeMy WebLinkAbout915 E Prospect Rd - Permits - 10/06/1992DEVELOPMENT SE9VICES/BUILDING PERMITS & INSPECTIONS DIVISION
P.O. BOX 580, FORT COLLINS, CO 80522-0580
221-6769
BUILDING PERMIT
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PERMIT FEES
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FEE DATE PAID
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Occupancy Group Fire Sprinkler
No. of Stories Bldg. Height TOTAL FEES is , 00
Occupancy Separation Area Separation Fire Containment
No. of Bathrooms I Fireplace;/Stoves Basement I Stock Plan Options
LBA Case No. �.� \ BBA Case No.
Permit No. ?a9iG I.
/`J) Permitpata 08ER bt 1992 DE i
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 h} rein. 1 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. This permit shall 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.
Signature Date
ORIGINAL - FILE, BLUE - OFFICE, CANARY - SALESTAX. PINK - APPLICANT. TAG - FIELD CARD
r C_ STATUS I. DATE
Off St. Parking
Electrical
Plumbing
SITE SETBACKS
REAR
FRONT
RIGHT
CALL 221-6769
TO SCHEDULE INSPECTIONS
(See reverse side for
Inspection Description)
4i
AA 3r# rq
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MrT 15.001
$15.00
K �15.00