HomeMy WebLinkAbout1415 S Shields St - Permits/Electrical - 03/05/1991DEVELOPMENT SERVICES/BUILDING PERMITS & INSPECTIONS DIVISION
P.O. BOX 580, FORT COLLINS, CO 80522-0580
SITE SETBACKS
221-6769
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REAR V/
V 040 BUILDING PERMIT
JOB SITE ADDRESS 1�415 S SH ELDS S-
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INSPECTIONS
CALL 221-6769
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(See reverse side for
Construction Type Occupancy Group Fire Sprinkler
Inspection Description)
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Building Square Footage
No. of Stories
Bldg. Height
TOTAL FEES
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Occupant Load
Occupancy Separation
Area Separation
Fire Containment
No. of Dwelling UnitsFedreoms
Fireplace/Stoves
Basement
Stock Plan Options
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Case No.
BBA Case No.
Permit No. i✓' - 1 I ) 510 if
Pen�t� . ti i ?l l
DEPARTMENT
SW S r_
DjW
Electrical
As a co ition for the issuance of a permit, I hereby declare that I am
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an o er or the owner's agent, authorized to perform the proposed
w on the property described herein. I agree to comply with all the
requirements contained , and City ordinances, and State laws
associate ith such or understand that such permit may be
revok e ev at uance was based on incorrect information.
Plumbing
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Sign � re
Date
ORIC"NAL - FILE, BLUE - OFFICE, CANARY - SALESTAX, PINK - APPLICANT, TAG - FIELD CARD