HomeMy WebLinkAbout4560 Larkbunting Dr - Permits/Water Heater - 02/05/1992i
DEVELOPMENT SERVICES/BUILDING PERMITS & INSPECTIONS DIVISION
SITE SETBACKS
P.O. BOX 580, FORT COLLINS, CO 80522-0580
221-6769
REAR
the o BUILDING PERMIT.
LEFT RIGHT
JOB SITE ADDRESS
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Permit Type 4 n b U lNcrk
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Category Type
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Perm
FilingPERMIT
FEES
Subdivision PUD
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Building Valuatlon
Subdivision/PUD
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FRONT
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Lot
Block
Parcel No.
ACCOUNT
FEE
DATE PAID
Last Firs[ M.I.
Lot Area
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Contract
INSPECTIONS
AdRECLUIRED
HEAT 1NSCity
State
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CALL 221-6769
TO SCHEDULE INSPECTIONS
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(See reverse side for
Zip - EINK
Phone
Tan No.—�
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Inspection Description)
Cons[ i e ''
Occupancy Group
ler
Building Square footage
No. of Stories
Bldg, Neigh[
TOTAL FEES
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FNP
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Occupant Load Occupancy
Separation
Area Separation
Fire Con[ainmem
3
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No. of Dwelling Units
No. of Bedrooms
No. of Bathrooms
FimWace/Stoves
Basement
Stock Plan
Options
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WATER HEATER REPLACEMENT
ono
ZBA Case No,
Casa No. -
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DEPARTMENTAL
Permit No.
Permit Care
DEPARTMENT
STATUS
DATE
SUB CONTRACTORS
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OTC PERMIT
ISS
- As a condition for the issuance of a permit, I hereby declare that 1 am an owner
_Electrical
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III or the owner's agent, authorized to perform the proposed work on the property
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described herein. I agree to comply with all the requirements contained herein,
and Cityordinances, and State laws associated with such work. I understand that
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.such permit may be revoked in the event that issuance was based on incorrect
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information. This permit shall become null and void if the work authorized by
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such permit is not commenced, suspended, abandoned, or not inspected within
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180 days from the date of such permit.
Plumbing
signature
Data
ORIGINAL -FILE, BLUE - OFFICE, CANARY - SALESTAX, PINK - APPLICANT, TAG - FIELD CARD
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