HomeMy WebLinkAbout917 E Prospect Rd - Permits - 11/20/1991DEVELOPMENT SERVICES/BUILDING PERMITS & INSPECTIONS DIVISION
P.O. BOX 580, FORT COLLINS, CO 80522-0580
221-6769
it- BUILDING PERMIT
JOB SITE ADDRESS >y_7 RDQSPE4-- P, ,
Permit Type Work Type Category Type
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w Proposed Use+ Use Zone Permit Level
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Subdivision PUD � FilingPERMIT FEES
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9.17 MOHA IV
37
1 F213T 'C1I-.LINS
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State
Zip
Phone No.
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80S25
C,
Com any Name
Contractor License No
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Address
City
State
COLLINS
Z
Zip
Phone
Sales Tax No.
O
f 524
+84-4841
Construction Type
Occupancy Group
Fire Sprinkler
Building Square Footage
No. of Stories
Bldg. Height
2
Occupant Load
Occupancy Separation
Area Separation
O
ty
No. of Dwelling Units
No. of Bedrooms
Fireplace/Stoves
Basement
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Z
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HEM ..—En
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No.
As a conditi n f the issuance of a permit, I hereby declare that I am
an owner or thi 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
associated with such work. I understand that such permit may be
revoked in the event that issuance was based on incorrect information.
LEFT
-'?75
FEE DATE PAID
Lot Area
5;.Q10
0.00 911120 Plat File No.
Off St, Parking
SITE SETBACKS
REAR
FRONT
RIGHT
CALL 221-6769
TO SCHEDULE INSPECTIONS
(See reverse side for
Inspection Description)
TOTAL FEES 15.00
_u
Fire Containment
Stock Plan Options
DEPARTMENT
DATE
MPITT
'`" Electrical
Mechanical