HomeMy WebLinkAbout2000 Constitution Ave - Permits/Gas - Log, Line, Pipe - 08/31/1992DEVELOPMENT SERVICES/BUILDING PERMITS & INSPECTIONS DIVISION
P.O. BOX 580, FORT COLLINS, CO 80522-0580
221-6769
e BUILDING PERMIT
JOB SITE ADDRESS 2000 CONSTITUTION AVE
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Subdivision PUD Filing
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W. Building Valuation
210
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438U524 Phone 493-7ti77 Sales Tan.2b4 I.
Construction Type Occupancy Group Fire Sprinkler
Building Square Footage
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3
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LBA Case No. BSA Case No.
Permit No. 0922292 Permi
AR�dUST 31, 1992
As a conditio for the issuance of a permit, I hereby declare that 1 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 Date
FILE, BLUE -
Containment
k Plan
LEFT
SITE SETBACKS
REAR
FRONT
RIGHT
CALL 221-6769
TO SCHEDULE INSPECTIONS
(See reverse side for
Inspection Description)
GL I LG
AA 2(01
AA201
'MIT $15.00
$15.00
X $1`.00