HomeMy WebLinkAbout1409 Patton St - Permits/Water Heater - 04/24/1991 (2)DEVELOPMENT SERVICES/BUILDING PERMITS & INSPECTIONS DIVISION
SITE SETBACKS
P.O. BOX 580, FORT COLLINS, CO 80522-0580
221-6769
REAR
City Of 1brt co BUILDING PERMIT
LEFT RIGHT
JOB SITE ADDRESS
Permit Type
Work Type Category Type
wProposed
Use
Use Zone Permit Level
`Subdivision
PUD
Filing
Q
Subdivision/PUD
Building Valuation
C7
-
FRONT
-
Lot
Block
Parcel No.
_ , ACCOUNT
CEE
DATE t to-'
Last
First
M.I.
Lot Area
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Address
City
File No.
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State Zip
Phone No.
Off St Parking
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Company Name
y.
Contractor License NoT
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REQUIRED INSPECTIONS
CALL 221-6769
Address
City
state
1 4 .
TO SCHEDULE INSPECTIONS
Z
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(See reverse side for
Zip T Phone Sales Tax No.
Construction Type Occupancy Group Fire Sprinkler
Inspection Description)
Building Square Footage
No of Stories
Bldg. Height
TOTAL FEES
Occupant Load
Occupancy Separation
Area Separation
Fire Containment
3
No. of Dwelling Units
No. of Bedrooms
Fireplace/Stoves
Basement
Stock Plan
Options
ry
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Text:
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ZBA
Case No. BBA Case No.
Permit
No Permit Date
} Y _ DEPARTMENT , STATUS DATE
•
,
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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, and City ordinances, and State laws
Mechanical
associated with such work. I understand that such permit may be
revoked in the event that issuance was based on incorrect information.
Plumbing
Signature
Date
ORIGINAL - FILE, BLUE - OFFICE, CANARY - SALESTAX, PINK - APPLICANT, TAG - FIELD CARD