HomeMy WebLinkAbout520 Columbia Rd - Permits/Water Heater - 11/04/1991DEVELOPMENT SERVICES/BUILDING PERMITS & INSPECTIONS DIVISION
P.O. BOX 580, FORT COLLINS, CO 80522-0580
221-6769
BUILDING PERMIT
JOB SITE ADDRESS
' Subdivision
Q Subdivision/ND
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4canse No
ACCOUNT FEE DATE PAID
PERMIT FLAT 15..00 91110L
IBu'u,ng Square Footage INe. et sm. IBid, Height I TOTAL FEES I I
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WATER HEATER
Separation
No,
0913133 Y NOVEMBER 4, 1991
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 issuance was based on incorrect information.
DEPARTMENT STATUS DATE
SITE SETBACKS
REAR
r
LEFT
FRONT
RIGHT
CALL 221-6769
TO SCHEDULE INSPECTIONS
(See reverse side for
Inspection Description)
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