HomeMy WebLinkAbout812 Grandlake Ct - Permits/Footing and Foundation - 12/04/1989DEVELOPMENT SERVICES/BUILDING PERMITS & INSPECTIONS DIVISION
SITE SETBACKS
4a P.O. BOX 580, FORT COLLINS, CO 80522-0580
221-6769
REAR
City of Fort Collins BUILDING PERMIT
JOB SITE ADDRESS
Perggt Ty¢e _ _ _ a . .. . _ ItvTYpe Catggohy
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LEFT RIGHT
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Proposed Use FJ.se Zone _
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Subdivision PUD Filing
Building Valuation'+
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ACCOUNT
FEE
DATE PAID
First M.I. -
Lot Area
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Plat File No.
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State--- Zip � Phone No.
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REQUIRED INSPECTIONS
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CALL 221-6769
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Zip_ , ; y Phone _ , + L sales Ta No;
TO SCHEDULE INSPECTIONS
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(See reverse side for
Cor;suWtion Type Occupancy Group Fire Sprinkler
Inspection Description)
Building Sbyja fRFootage N(E-of Stories Bldg. Height
TOTAL FEES
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Occu ant Load
P Occupancy Separation Area Separation Fire Containment
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No. of Dwelling Units No. of Bedrooms Fireplace{Stoves Basement Stock Plan
Options
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ZBA Case No. BBA Case No.
Permit No
_ PARTMENT
STATUS
DATECONTRACTORS
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As a condition for the issuance of a permit, I hereby declare that I am_ac7
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Electrical
an owner or the owner's agent, authorized to perform the proposed OW
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workon the property described herein. I agree to comply with all the '-= ;vtRZ.
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requirements contained herein, and City ordinances, and State laws -
Mechanical
associated with such work. I understand that such permit may be
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revoked in the event that issuance was based on incorrect information.
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Signature
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Plumbing
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ORIGINAL - FILE, BLUE - OFFICE, CANARY - SALES TAX, PINK - APPLICANT, TAG - FIELD CARD