HomeMy WebLinkAbout528 S Grant Ave - Permits/Furnace - 10/24/1994DEVELOPMENT SERVICES/BUILDING PERMITS & INSPECTIONS DIVISION
SITE SETBACKS
P.O. BOX 580, FORT COLLINS, CO 80522-0580
REAR
221-6769
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SITE ADDRESS r r riRANT AVP
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Permit Type
Work Type Category Type
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NICAL
Propose Use Use
Zone Permit Level
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Subdivision � PUD
Filing
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Subdivision/PUD
Building Valuation
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Lot
Block
Parcel No.
ACCOUNT
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Last
First
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Lot Area
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15.00
Plat File No.
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CITY AL USE TA
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Address
City
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Off St. Parking
OPhone
State
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Zip
No.
Company Name
Contractor License No.
REQUIRED INSPECTIONS
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CALL 221-6769
City
state
Q
Address
1 NY RC
F T COLI TNS
TO SCHEDULE INSPECTIONS
0
(See reverse side for
Zip
Phone
Sales Tax No.
90525
223-8E
2 :�)862
Inspection Description)
Construction Type
Occupancy Group
Fire Sprinkler
Building Square Footage
No. of Stories
Bldg. Height
, TOTAL FEES15.001,..
>IyS
7
Occupant Load
Occupancy Separation
Area Separation
Fire Containment
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No. of Dwelling Units
No. of Bedrooms
No. of Bathrooms
Fireplace/Stoves
Basement
Stock Plan
Options
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Text:
FURNACE REPLACEMENT
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ZBA Case No.
No.Permit
No.
7BBAse
Date
DEPARTMENT
STATUS DATEt`
�'T'�BFR c'+. 4
2t
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 requirements contained herein,
Mechanical
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. This permit shall become null and void if the work authorized by
such permit is not commenced, suspended, abandoned, or not inspected within
Plumbing
180 days from the date of such permit.
Signature
I Date
ORIGINAL - FILE, BLUE - OFFICE, CANARY - SALESTAX, PINK - APPLICANT, TAG - FIELD CARD