HomeMy WebLinkAbout825 Laporte Ave - Permits/Gas - Log, Line, Pipe - 11/22/1991DEVELOPMENT SERVICES/BUILDING PERMITS & INSPECTIONS DIVISION
P.O. BOX 580, FORT COLLINS, CO 80522-0580
221-6769
BUILDING PERMIT
JOB SITE ADDRESS
rS�uWl,�w.a/PUD
2 GAS G E
Tion PUD
E
I
Filing
ding Valuation
ACCOUNT
BLDG PERMIT FLAT
CITY SALES USE TA
FEE DATE PAID
15.00
0,00
(Building Square rootage I No. of stones Ielog. neignt I TOTAL FEES I I
it hA
Occupant Load Occupancy Separation
O
3
LL No. of Dwelling Unns No. of Bedrooms FreD
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Z
O Text
E INSTALLATION OF "PETERSON" GAS LOGS.
TAX PAID @ RETAILERS
VI
Separation
No, 0413344 1rr�IgVeEMBER 22, 1991
As a cond" o for the issuance of a permit, I hereby declare that I am
an owne or the owner's agent, authorized to perform the proposed
work o the property described herein. I agree to comply with all the
requir ents 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.
ae Q aK — -
DEPARTMENT STATUS DAWEM,
LEFT
File No.
SITE SETBACKS
REAR
FRONT
RIGHT
CALL 221-6769
TO SCHEDULE INSPECTIONS
(See reverse side for
Inspection Description)
GL I LG