HomeMy WebLinkAbout1324 Green St - Permits/Furnace - 11/29/1994DEVELOPMENT SERVICES/BUILDING PERMITS & INSPECTIONS DIVISION
SITE SETBACKS
P.O. BOX 580, FORT COLLINS, CO 80522-0580
221-6769
REAR
BUILDING PERMIT
JOB SITE ADDRESS
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LEFT RIGHT
F-
Permit Type
Work Type Category Type
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Proposed Use
Use Zone Permit Level
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Subdivision ❑ PUD ❑
Filing
Subdivision/PUD
Building Valuation
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FRONT
Lot
Block
Parcel No.
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ACCOUNT
FEE
DATE PAID
Last
First
MI
Lot Area
Address
City
Plat File No.
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.v I T�V. SALES UiSE TA.
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State
Zip
Phone No.
Off St. Parking
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Company Name
Contractor License No.
REQUIRED INSPECTIONS
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CALL221-6769
Address
City
State
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TO SCHEDULE INSPECTIONS
Zip
Phone
Sales Tax No
(See reverse side for
2==-" 1
Inspection Description)
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Construction Type
Occupancy Group
Fire Sprinkler
Building Square Footage
No. of Stories
Bldg. Height
TOTAL PEES
Occupant Load
Occupancy Separation
Area Separation
Fire Containment�-
3
-
ry
No. of Dwelling Units
No. of Bedrooms
No. of Bathrooms
Fireplace/Stoves
Basement
Stock Plan
Options
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Text:
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ZBA Case No.
BBA Case No.
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Permit No.
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Perron Date
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DEPARTMENT
STATUS'
DATE
- - -
_
- - -
As a condition for the issuance of a permit, I hereby declare that I am an owner
7m,,hcnical
or the ownee 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.
Plumbing
Signature
Date
ORIGINAL - FILE. BLUE- OFFICE. CANARY - SALESTAX. PINK - APPLICANT. TAG - FIELD
CARD