HomeMy WebLinkAbout513 N Loomis St - Permits/Water Heater - 06/27/1991DEVELOPMENT SERVICES/BUILDING PERMITS & INSPECTIONS DIVISION
SITE SETBACKS
P.O. BOX 580, FORT COLLINS, CO 80522-0580
221-6769
6
REAR
= a BUILDING PERMT
JOB SITE ADDRESS
_-
LEFT RIGHT
f—
Permit Type
Mrk Type
Category Type
_
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-
1
Proposed Use
Use Ion.
Permit Level
Subdivision PUD ng
PERMIT FEES
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Subdiviswn/PUD
Building Valuation G
ou
FRONT
Lot
Block
Parcel No.
ACCOUNT
FEE
DATE PAID
last F,
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First
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Lot Area
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Address
City
Plat File No.
2
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State
Zip
Phone No..
OH St Parking
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2
company Name
Contractor License No.
REQUIRED INSPECTIONS
Add...
City
state
CALL 221-6769
TO SCHEDULE INSPECTIONS
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o
-
(See reverse side for
zip
Phone
sales Tax No.
U
.
Inspection Description)
Construction Type
Occupancy Group
Fire Sprinkler
Building Square Footage
No. of Stories
Bid,. Height
TOTAL FEES
tc
Occupant Load
Occupancy separation
Area Separation
Fire Containment
3
LL
No. of OwNling Units
No. of Bedrooms
Fireplace/Stoves
Basemen[
Sock Plan
Options
O
2
Text
a
ZBA Case No. BRA Case No.
•
Permit No. Permit Date
,l+'_ _ ; ; : _ _ a. ; *ty' i DEPARTMENT STATUS DATE
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
Data
ORIGINAL - FILE. BLUE - OFFICE, CANARY - SALESTAX, PINK - APPLICANT, TAG - FIELD C.