HomeMy WebLinkAbout916 Rocky Rd - Permits - 11/12/1992DEVELOPMENT SERVICES/BUILDING PERMITS & INSPECTIONS DIVISION
SITE SETBACKS
P.O. BOX 580, FORT COLLINS, CO 80522-0580
221-6769
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REAR
Ully of Fort Coffirul BUILDING PERMIT
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34 12' 6"
LEFT RIGHT
JOB SITE ADDRESS 916 ROCKY RD
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Contractor License No.
REQUIRED INSPECTIONS
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CALL 221-6769
Address
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State
TO SCHEDULE INSPECTIONS
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(See reverse side for
Zip Phone Seles Tax No.
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Inspection Description)
Construction Type Occu�ancv Group Fire Sprinkler
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Building Square Footage
No. o' Stories
Bldg. Height
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Occupant Load
Occupancy Separation
Area Separation
Fire Containment
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No. of DwellingUnits
No. of Bedrooms
No. of Bathrooms
Fireplace/stoves
Basement
Stock Plan
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MA Case No.
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Permit No U923133
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Electrcal
As a conditi fo the issuance of a permit, I hereby declare that I am an owner
CLAN CHECK
PASSEL
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or the own 's a nt, authorized to perform the proposed work on the property
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described herein. I agree to comply with all the requirejments contained heroin,
and Cityordinances, and State laws associated with such work. I understand that
Mechanical
such permit may be revoked in the event that issuances was based on incorrect
information. This permit shall become null and void if the work authorized by
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such permit is not commenced, suspended, abandoned, or not inspected within
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180 days from the date of such permit.
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Plumbing
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Signature
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Datel
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ORIGINAL - FILE, BLUE - OFFICE. CANARY - SA2 1TAX. PINK - APPLICANT, TAG - FIELD CARD