HomeMy WebLinkAbout1201 Green St - Permits/Gas - Log, Line, Pipe - 11/29/1990s, DEVELOPMENT SERVICES/BUILDING PERMITS & INSPECTIONS DIVISION
SITE SETBACKS
t .
P.O. BOX 580, FORT COLLINS, CO 80522-0580
221-6769
REAR
trio BUILDING PERMIT
JOB SITE ADDRESS
1201 GREEN ST
LEFT RIGHT
F
Permit Type
Work Type Category Type
GAS LOG/GAS LIGHTER
NEW SINGLE FAMILY DETACHED
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a
Proposed Use
Use Zone Permit Level
RESIDENTIAL
FULL/FINAL
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Subdivision ❑ PUD
Filing
PERMIT FEES
Subdivision/PUD
Building Valuation
p'
287
FRONT
Lot
Block
Parcel No.
ACCOUNT
FEE
DATE PAID
Last
BRUNER
First
RUTH
M 1.
BLDG PERMIT FLAT
15.00
Lot Area
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CITY SALES USE TA
0.00
Address
city
Plat Foe No.
3
1201 GREEN ST
FORT COLLINS
O
State Zip
Phone No.
Off St. Parking
D 80524
Company Name
Contractor License No.
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REQUIRED INSPECTIONS
C
CALL221-6769
Address
city
state
TO SCHEDULE INSPECTIONS
Zip Phone Sales Tax o.
N
p
J
(See reverse side for
Construction Type Occupancy Group Fire Sprinkler
Inspection Description)
Building Square Footage
No. of Stories
Bldg. Height
TOTAL FEES
15.00
GL
LG
X
Occupant Load P
Occupancy Separation
Area Separation
Fire Containment
No. of Dwelling Units
No. of Bedrooms
Fireplace/Stoves
Basement
Stock Plan
Options
ly
O
Z
O
Text:
a
INSTALLATION OF MAJCO GAS LOG SET
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ZBA
Case No.
BBA Case No.
DEPARTMENTALr:,v..
Permit No.
0902463
Permit Date
NOVEMBER 29, 1990
DEPARTMENT
STATUS
DATE
SUB
CONTRACTORS
OTC PER
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. I agree to comply with all the
Mechanical
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.
Plumbing
Signature -
Date
.ram FILL, DwE - vrrn,c. UMVJ%nI - araLESTAX, nrvn - ArruuAryi, iAu - rites i-AMU