HomeMy WebLinkAbout1811 Indian Meadows Ln - Permits/Mechanical Alteration - 11/25/1997PG
SETBACKS
/B► PERMIT
° Community Planning & Environmental Services BUILDIN
REAR
Building Permits & Inspections Division V
P.O. Box 580 221-6769
City of Fort Collins Fort Collins, CO 80522r0580
LEFT RIGKT
JOB SITE ADDRESS
Permit Type
work Type
Category TYPE
Use ZoneRFSTF)FNTTAI
Permil Level
Proposed Use
a
---
Subdivision PUD 0
Filing
PERMIT FEES
J
FRONT
Subdivision/PUD
Building Valuation
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to
646
Lot
Block
Parcel No.
ACCOUNT,--_
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iv FEE ;:
DATfPA10(
Lasi
First
M.I.
Lot Area
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BLDG_PERMIT_FLAT
CITY SALES USE TA
30 00
0 00°�,
971125_
971125'
Addres.
ciy
Plot File No.
3
COUNT=Y SALES%:TAK
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97t325
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State
Zip
Phone No.
Off St. Parking
CO
80525
-
Company Name
Contractor Ucense No.
REQUIRED INSPECTIONS
POUDR
n
Address
City
state
q
CALL 221-6769
812 STOCKTON
FT r0l I q
TO SCHEDULE INSPECTIONS
zip
Phone
sales T. No.
O
(See reverse side for Inspection Description)
U
80594
4 C12 90SM
Constructen Type
Occuponcy Group
Fire Sprinkler
Fireplace/Staves
Building Square Footage
Basement Square Footage
Stories
Building Height
GL
FNP
FNM
Occuparq Load
Occupancy Separation
paration
Fire Containment
x
SPI
;Ar..
3
No. ofDwelling Unih
No. of BedroomsNo.
ofms
Stock Plon/Options
TOTAL FEES „_
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- -- -
O
a
Tad
REPLACE WATER HEATER AND FURNACE
a
u
W
0
ZBA Cose No.
BRB Cos. No.
B 1
1
Permit DatenipHOVEMBER 25,997
DEPARTMENT i
STATUS
DATE -=�
I
• If!144
Volr
AS a condition for the issuance of a permit, I hereby declare that I am an owner or the
_ - _ __
_ OTC, PERM
T„ ISS -
.a
Electrical
NIA
owner's agent, authorized to perform the proposed work on the property described herein.
Mechanical
I agree to comply with all the requirements contained herein, and City ordinances, and State
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NSA
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 it
the workauthorized bysuch permitis not commenced, suspended, abandoned, or not
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inspected within 180 days from the date of such permit.
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��� Date
Roofing
NSA
Signmure