HomeMy WebLinkAbout2243 Shawnee Ct - Permits - 07/19/1993DEVELOPMENT SERVICES/BUILDING PERMITS & INSPECTIONS DIVISION
SITE SETBACKS
P.O. BOX 580, FORT COLLINS, CO 80522-0580
221-6769
REAR
City of tf o ttts BUILDING PERMIT
JOB SITE ADDRESS
LEFT RIGHT
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Work TYPe Category Type
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Use Zone Peraia Level
L.
Subdivision ❑ PUD D
FilingPERMIT
FEES
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Subdivision/PUD
Building Valuation
FRONT
Lot
Block
Parcel No.
ACCOUNT
FEE
DATE PAID
Last
First _ _
M.I.
_ _ _
Lot Area
Z
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Address
City
Plat File No.
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State_ Zip -I.
Phone No
Off St. Parking
7r Fes..
Company Name _ _ _
e
Contractor Ucensg No.
REQUIRED INSPECTIONS
a
CALL 221-6769
Address
ci)y
State
TO SCHEDULE INSPECTIONS
z
p
ZIP Phone Sales Tax No
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(See reverse side for
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Construction Type Occupancy Group Fire Sprinkler
Inspection Description)
Budding Square Footage
N. of Stories
Bldg. Height
TOTAL FEES
=iN QF"
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Occupant Load Occupancy Separation
Area Separation
Fire Containment
O
N. of Dwelling Units
Na. of Bedrooms
No. of Bathrooms
Fireplace/Stoves
Basement
Stock Plan
Options
LL
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,
O
Z
J
ZBA
Case No.
BBA Case No-
•EPARTMENTAL
REVIEW
Permit No ,
PermlLDate..
DEPARTMENT
STATUS
DATESUB
CONTRACTORS
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Electrical
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. 1 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
such permit is not commenced, suspended, abandoned, or not inspected within
180 days from the date of such permit.
Plumbing
iT
Signature
Date
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