HomeMy WebLinkAbout1024 Davidson Dr - Permits/Water Heater - 07/27/1992DEVELOPMENT SERVICES/BUILDING PERMITS & INSPECTIONS DIVISION
P.O. BOX 580, FORT COLLINS, CO 80522-0580
221-6769
City of o BUILDING PERMIT
JOB SITE ADDRESS 1024 DAVIDSON DR C
Pe,WA—TER HEATER
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PUD
Filing
PERMIT FEES
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Subdivision/PUD
Building Valuation 316
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Lot
Block
Parcel No.
ACCOUNT
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DATE PAID ,
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City FORT COLLINS
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zip 80526
1 Phone N226-6418
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AdT S. LINK LN.
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Phone 484-4841
Sales Ta
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Construction Type
Occupancy Group
Fire Sprinkler
Building Square Footage
No. of Stories
Bldg. Height
TOTAL FEES
Occupant Load
Occupancy Separation
Area Separation
Fre Containment
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No. of Dwelling Units
No. of Bedrooms
I No. of Bathrooms
Fireplace/Stoves
Basement
Stack Plan
Options
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Permit No0Y21c%4Yc Cf, Permil,mY Z I I 117Z
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. I agree to comply with all the requirements contained herein,
and City ordinances, and State 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 if the work authorized by
such permit is not commenced, suspended, abandoned, or not inspected within
180 days from the date of such permit.
Signature I Date
ORIGINAL - FILE. BLUE - OFFICE, CANARY - SALESTAX, PINK - APPLICANT, TAG - FIELD CARD
pEPAf�fNlEi�3T I _ _ .
LEFT
SITE SETBACKS
REAR
RIGHT
FRONT
CALL 221-6769
TO SCHEDULE INSPECTIONS
(See reverse side for
Inspection Description)
FNP
27.NL 2 HH 1 49
27JUL 2 HH 1849
ERMIT $15.00i
AMT $15.00
CK $15.00