HomeMy WebLinkAbout1205 Green St - Permits/Addition or Alteration - 11/28/1989DEVELOPMENT SERVICES/BUILDING PERMITS & INSPECTIONS DIVISION
P.O. BOX 580, FORT COLLINS, CO 80522-0580
221-6769
BUILDING PERMIT
JOB SITE ADDRESS
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Building Valuation
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ACCOUNT
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CALL 221-6769
TO SCHEDULE INSPECTIONS
(See reverse side for
Inspection Description)
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Bldg. Height
TOTAL FEES;
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Separation
Area Separation
Fire Containment
• Freplace/Stoves
Basement
Stock Plan
Case No. BBA Case No.
it No - Pefnrt
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
revoW in the event that issuance was based on incorrect information.
ure
Dat�/
DEPARTMENTAL REVIEW
INNI
TEPARTMENT STATUS
SUB CONTRACI
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ORIGINAL - FILE, LUE - OFFICE, CANARY - SALES TAX, PINK - APPLICANT, TAG - FIELD CARD