HomeMy WebLinkAbout401 E Prospect Rd - Permits/Gas - Log, Line, Pipe - 08/03/1994DEVELOPMENT SERVICES/BUILDING PERMITS & INSPECTIONS DIVISION
SITE SETBACKS
P.O. BOX 580, FORT COLLINS, CO 80522-0580
221-6769
REAR
ttye BUILDING PERMIT
JOB SITE ADDRESS
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LEFT RIGHT
Permit Type
work Type Category Type
L
W
Proposed Use
Use Zone Permit Level
FL N L..
Subdivision PUD
Filing
J
Building Valuation
Subdivision/PUD
J
FRONT
Lot
Block
Parcel No.
ACCOUNT
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DATE PAID
Last
First
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M.I.
Lot Area
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L i f i ;3.H.L.�'.� If `.St: i H
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Address
City
Plat File No. '
Y
O
State
Zip
Phone No
Off St. Parking
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Company Name
Contractor License No.
REQUIRED INSPECTIONS
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Q
CALL 221-6769
Address
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City
state
Z
TO SCHEDULE INSPECTIPNS
Zip
y
Phone
Sales Tax No.
(See reverse side for
--
Inspection Description)
Construction Type
Occupancy Group
Fire Sprinkler
S
Building Square Footage
No. of Stories
Bldg. Height
-
TOTAL FEES
2+, 09
_
y
Y
tr
Occupant Load
P
Occupancy Separation
Area Separation
fire Containment
_
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u_
No. of Dwelling Units
No. of Bedrooms
No. of Bathrooms
Fireplace/Stoves
Basement
Stock Plan
Options
O
Z
fir`_
W
ZBA Case No.
BBA Case No.
DEPARTMENTAL
-"
REVIEW
Permit No.
Permit Date
a
—ll—
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DEPARTMENT
STATUS
C)ATE
SUB CONTRACTORS
Electrical
As a condition for the issuance of a permit, 1 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
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 ijD-ptcqmmenced, suspended, abandoned, or not inspected within
180 day m the d to of such permit.
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