HomeMy WebLinkAbout4530 Maxwell Dr - Permits - 12/06/1999DEVELOPMENT SERVICES/BUILDING PERMITS & INSPECTIONS DIVISION
P.O. BOX 580, FORT COLLINS, CO 80522-0580
I- 221-6760
City of fort Collins BUILDING PERMIT
JOB SITE ADDRESS 453E MiM,xwEi-_
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Subdivision PUD Filing
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Building Square
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P.O. `; { 904
of Bedrooms
Permit No_0 S 9 t G 5
Phone No
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Contractor License No.
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Sales Taxp
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of Stories
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Sprinkler
Area Separation
Basement
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 issuanco- based on incorrect information.
Rgpry, TYPe_ _
mLL Level _ _ _
ACCOUNT
Bldg. Permit
Parkland
City Stiles Tax
Street Oversizing
Water Plant Investment Fee
Seweg' Plant Fee
Electric Underground
Water Rights
Trunkline
Misc.
TOTAL FEES
Zoning
Engineering
Wafter & Sewer
Light & Power
Street Oversizing
Storm Drainage
Pla¢I Check
P' Lre Fire Authority
Latimer County Health
Plan
FEE DATE PAID
LEFT
SITE SETI
REAR
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20
FRONT
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RIGHT
^l- CALL 221-6769
-.TO SCHEDULE INSPECTIONS
(See reverse side for
Inspection Description)
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991-116
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