HomeMy WebLinkAbout300 S Jackson St - Permits/Gas - Log, Line, Pipe - 10/21/1992DEVELOPMENT SERVICES/BUILDING PERMITS & INSPECTIONS DIVISION
SITE SETBACKS
P.O. BOX 580, FORT COLLINS, CO 80522-0580
221-67 W
REAR
dy ot ken L011111S BUILDING PERMIT
JOB SITE ADDRESS 300 JACKSON AVE
LERIGHT FT
Pef10A' -LOG/GAS LIGHTER
"b VEti&a Catac8jN�E FAMILY DETACHED
PrpePEflENTIAL
Use ParmF'LNLIL/FINAL
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Subdivision PUD
Filing
PERMIT FEES
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Building Valuated 627
Subdivision/PUD
w
FRONT
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Lot
Block
Parcel No,
ACCOUNT
FEE
DATE PAID
Lea M
cost K.LM
M.I.
BLDG PERMIT FLAT
15.00
Lot Area
S_ALES__USE TA
0.0.0
—Plat
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Md w JACKSON AVE
Cb FT CDLLINS
_CITY
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File No.
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stateCD
zip $0521
PnoneN484-3473
Off St Parking
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CcfttE*aPLUMB INS & HEATING
ContractorLlpe"PNa4
• • INSPECTIONS
Adutl S. LINk LN.
City FT COLLINS
StateCD
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CALL 221-6769
F
_
TO SCHEDULE INSPECTIONS
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zip 80524
Pnone 484-4841
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1 (See reverse side for
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Inspection Description)
_ _ _
Constructed Type
Occupancy Group
he Sprinkler
GL
LG
Building Square Footage
No. of Stories
Bldg. Height
TOTAL FEES
O
X
Occupant Load Occupancy
Separation
Area Separation
Fire Containment
O
3
No. of Dwelling Units
No. of Bedrooms
No. of Bathrooms
Fireplace/Stoves
Basement
Stock Plan
Options
O
O
Tex `J L LUU
a
U
V),
O
zaA Case No,
BBA Case No.
DEPARTMENTAL
REVIEW
PermiQL'ate DaER 21, 1442
DEPARTMENT
STI
ASUIR
CONTRAcTORS
Permit N- 0922886
E
ElectricllOCTJ2
H 3
As a condition for the issuance of a permit, I hereby declare that I am an owner
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PERMIT
$15. OONT
or the owner's agent, authorized to perform the proposed work on the property
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described herein. I agree to comply with all the requirements contained herein,
_ _ _ _
_ _
MechanicaAMT UE $15.00
and City ordinances, and State laws associated with such work.I understand that
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_ __ _ _ _
such permit may be revoked in the event that issuance was based on incorrect
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CHECK $15.00
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
180 days fro he date of such per it.
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Plumbing
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ORIGINAL - "DICE, CANARY - SALESTAX, PINK - APPLICANT, TAG - FIELD CARD