HomeMy WebLinkAbout1408 Shamrock St - Permits/Water Heater - 03/18/1992DEVELOPMENT SERVICES/BUILDING PERMITS & INSPECTIONS DIVISION
P.O. BOX 580, FORT COLLINS, CO 80522-0580
221-6769
BUILDING PERMIT
JOB SITE ADDRESS
F-
Permit Type
:vATc ij;74TER
W
Proposed Use
a
Subdivision PUD
G
Subdivision/PUD
t7
W
J
Lot B
Last F
LANCE
W
Address
3
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O
State
Zip
rn
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Company Name
P? ' i ;1 r u HZ -'
QAddress
-
I. A
z
O
Zip P
Building Square Footage
Occupant Load
Occupancy Separation
3
u_
No. of Dwelling Units
No. of Bedrooms
Nlo. of Bathrooms
O
Z
O
Text:
a
y P. i'EF HEATER'
iNSTiii_ A 101W
U
N
No.
Filing
ise No.
Sales Tax No.
t Rf;
upancy Group Fire Sprinkler
of Stories Bldg. Height
Area Separation
ZBA Cave No. / BBA Case No
Permit No Permit Date
As a conditio foF the issuance of a permit, I hereby declare that I am an owner
or the owner' agent, authorized to perform the proposed work on the property
described herein. I agree to comply wiIh 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. This permit shall become null and void if the work authorized by
such permit is not commenced, suspended, abandoned, or not inspected within
180 days from the date of such permit.
Signature' ` A Date
L ✓ 4'
ORIGIN - FIYF RI I1F - nFFICF CANARY - SALFSTAX PI - APPLICANT. TAG - FIELD CARD
ACCOUNT
:CTY SAL: S USE TA
TOTAL FEES
DEPARTMENT
LEFT
FEE PATE PAID
Lot Are,
?iG}
t�}, ;� '20KI8Plat File
SITE SETBACKS
REAR
FRONT
RIGHT
CALL 221-6769
TO SCHEDULE INSPECTIONS
(See reverse side for
Inspection Description)
_ 1 15.17[±) FN-
Fire Containment
Stock Plan Options
STATUS - DATE
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I IMachwical
Plumbing