HomeMy WebLinkAbout930 Kimball Rd - Permits/Gas - Log, Line, Pipe - 12/06/1996Community Planning & Environmental Services
Building Permits & Inspections Division
P.O. Box 580
c;tyef Fert cotunB Fort Collins, CO 80522-0580
)B SITE ADDRESS OTUn AI f nr.
BUILDING PERMIT
221-6769
�<s GAS LOG/GAS LIGHTER I Y DETACHED
ys Proposed Use Usa Zone Permit Lwel
RESIDENTIAL
Subdivision 13 PUD Filing PERMIT FEES
J
�Subdivision/PUD Building Valuation
w 1100
T.
Occupancy
No. of Dwelling Units I No. of Bedrooms
Tut
GAS LOG INSTALLATION
I. v
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 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. This permit shall become null and void if
the wort authorized by such permit is not commenced, suspended, abandoned, or not
inspe jwit180 days from the date of such
`p%erms�iC.
..... _.JNYe"V
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Dot.
LEFT
SETBACKS
REAR
FRONT
TO SCHEDULE INSPECTIONS
(See reverse side for Inspection Desc
GL
OTC PERMIT ISS .. N/A
Mechanical
N/A .
Munising
N/A
Other
N/A
LG