HomeMy WebLinkAbout2030 Derby Ct - Permits/Garage - 08/19/1993DEVELOPMENT SERVICES/BUILDING PERMITS &INSPECTIONS DIVISION
P.O. BOX 580, FORT COLLINS, CO 80522-0580
221-6769
Uof tort Colfins BUILDING PERMIT
JOB SITE ADDRESS-
N Permit Type work Type Category Type
up
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Proposed Use
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Use Zone
Subdivision PUD Filing
Q
Subdivision/PUD
0
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Lot
Block
Parcel No.
Last _ _ _
First
M.I.
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Address
City
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State
Zip
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Phone No.
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Company Name
Contractor License No�
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Address
City
Z
Z
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ZIP
Phone
Sales Tax No.
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Construction Type
Occupancy Group
Fire Sp
— -37_
Permit Level +
— _ 4 H:
LEFT
ACCOUNT FEE DATE PAID
Lot Area
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Off St. P,
Building Square Footage No. of Stories Bldg. Height
TOTAL FEES
Occupant Load Occupancy Separation 49. 0 i
3 Area Separation Fire Containment
iy No. of Dwelling Units No. of Bedrooms No. of Bathrooms Fireplace/Stoves Basement Stack Plan Options
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2
O Text
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Permit No Permit Date
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 tom,
DEPARTMENT
SITE SETBACKS
REAR
FRONT
RIGHT
CALL 221-6769
TO SCHEDULE INSPECTIONS
(See reverse side for
Inspection Description)
19AUG3 HH
19AUG' 3 HH
19AUG-3 HH
TAX PP
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-(r-"-'"
Electrical
CHECK
#120.00
Plumbing
FILE, BLUE - OFFICE, CANARY -