HomeMy WebLinkAbout300 S Jackson St - Permits/Reroof - 11/02/1994DEVELOPMENT SERVICES/BUILDING PERMITS & INSPECTIONS DIVISION
SITE SETBACKS
P.O. BOX 580, FORT COLLINS, CO 80522-0580
S
221-6769
REAR
dvn BUILDING PERMIT
JOB SITE ADDRESS
LEFT RIGHT
F
Permit Type
Nbrk Type Category Type
F— I
A FON i FAM I
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Proposed Use
Use Zone Permit Level
RF. n T I
FULL/FINAL
Subdivision PUD Filing
et
Subdivision/PUD
Building Valuation
to
(51) 4
FRONT
Lot
Block
Parcel No. _ _
009
ACCOUNT
FEE
DATE PAID
Last
First
M.I.
Lot Area
MA
?
SLOG PERMIT NON_S
S0.5U_
zAddress
CITY SALES USE TA
_
63.00
coy
Plan File No.
3
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State
Zip
I
Phone No.
Off $t. Parking
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Ai 9 A
4A4-147q
Company Name
Contractor License NoOb -
INSPECTIONS
r n r T r
R—
- _
__ ._REQUIRED
CALL 221-6769
Address -
city
state
p
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FT rni I TN
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TO SCHEDULE INSPECTIONS
0
_ -
-
(See reverse side for
Zip
Phone
Sales Tax No.
1
—4 1 97
91 7r,4
_
_. _..
Inspection Description)
Consti Type
Occupancy Group
Fire Sprinkler
RF
Building Square Footage
No of Stories
Bld, Heght
TOTAL FEES
50
Occupant Load
Occupancy Separation
Area Separation
Fire Containment
3
No. of Dwelling Units
No. of Bedrooms
No. of Bathrooms
Fireplace/Stoves
Basement
Stock Plan
Options
O
2NpU-4 AA 8=36
OText.
RE —ROOF TEAR OFF EXISTING ROOF AND RE —ROOF WITH TILE
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CCC
2NOV 14 HH N1 36
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" ERMIT $50.50I. T
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ZBA Case No. BBA Case No.
• ' '
AMT UE ' 113.50
Peimit No, Permit2te
DEPARTMENT STATUS DATE
• •
0 9 42 53 EMBER 2. 1994
Electrical
OTC PERMIT
159
As a condition for the issuance of a permit, I hereby declare that I am ari 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
_ _
_
_ _
_ _ _ _
Mechanical
such permit may be revoked in the event that issuance was based on incorrect
information- This permit shall become null and void if the work authorized by
- - - -
- -
-
I such permit is not commenced, suspended, abandoned, or not inspected within
180 days from the date of such permit.
Plumbing
Signature
I Date
ORIGINAL - FILE, BLUE - OFFICE, CANARY - SALESTAX, PINK - APPLICANT. TAG - FIELD CARD