HomeMy WebLinkAbout619 W Lake St - Permits/Reroof - 01/30/1990DEVELOPMENT SERVICES/BUILDING PERMITS & INSPECTIONS DIVISION
P.O. BOX 580, FORT COLLINS, CO 80522-0580
221-6769
:ity of Fort Collins BUILDING PERMIT
3B SITE DRESS 619 W LAKE ST
kE"``ftF A&kRATION ` Rn
0..se.,rL use Zone i��tIL�Vet/ C T MAI
Let
Subdivision
IST STUDENT_
W LAKE ST
zip BOS26
PUD
caoo n, .. a.aan 720
k Pa'WT APPLICA ACCOUNT FEE
UNION "" SLOG PERMIT NON S 14.50
CITY SALES USE TA 0.00
"`9FT COLLINS
Pben4`64-3112 �C(X
Contractor Loonse No.
Zip Flnone Sates Tax No
Construction Type Occupancy Group Flre Sprinkler
Building Square Footage INo. of Stories f IBlug. Height I TOTAL FEES 14.50
Load
OFF AND
ALREADY
Occupancy Separation IArea Separation
SOUTH SIDE OF ROOF AT BAPTIST STUDENT UNION
0 AT TIME OF PERMIT ISSUANCE
DATE PAID
N00900125 /�d� 1"'nWARY 30, 1990 DEPARTMENT STATUS DATE•P6AN CHECK PASSED
As a condition for the issuance of a permit, I hereby declare that I am
an owner or the owners 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.
Da e �q V }
,0 —
ORIGINAL - FILE, BLUE - OFFICE, CANARY - SALES TAX, PINK - APPLICANT, TAG - FIELD CARD
LEFT
RF
SITE SETBACI
REAR
FRONT
RIGHT
CALL 221-6769
TO SCHEDULE INSPECTIONS
(See reverse side for
Inspection Description)
Ji,ITS 50
1 14 50