HomeMy WebLinkAbout521 W Magnolia St - Permits/Electrical - 12/10/1990DEVELOPMENT SERVICES/BUILDING PERMITS'& INSPECTIONS DIVISION
SITE SETBACKS
ff P.O. BOX 580, FORT COLLINS, CO 80522-0580
221-6769
REAR
ttyo 0 5 BUILDING PERMOT
JOB SITE ADDRESS 1 NAbNULIA I
LEFT RIGHT
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PERMIT FEES
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Subdivision/PUD
Building Valuation tl
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DATE PAID
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Lot Area
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CALL 221-6769
TO SCHEDULE INSPECTIONS
b Phone — Sales
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(See reverse side for
_
Inspection Description)
Construction Type Occupancy Group Fire Sprinkler
- _; _
UGE
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Buikling Square Footage
No. of Stories
gang. Height
; TOTAL FEES
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EG
FNE
Occupant Load
Occupancy Separation
Area Separation
Fire Containment
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No. of Dwelling Units
No. of Betlrooms
Fireplace/Stoves
Basement
Stock Plan
Options
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Case No.
No.
Permit Date
DEPARTMENT
1
sigisp ER P
IT D'ftS
Permit
SUBCONTRACTORS
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
rev e the event that issuance was based on incorrect information.
Numbing
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Sgdatur
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ORIGINAL.- FILE, BLUE - OFFICE. CANARY - SALESTAX. PINK - APPLICANT, TAG - FIELD -CARD