HomeMy WebLinkAbout831 Benthaven St - Permits/Sprinkler - 05/28/1991DEVELOPMENT SERVICES/BUILDING PERMITS & INSPECTIONS DIVISION
P.O. BOX 580, FORT COLLINS, CO 80522-0580
221-6769
BUILDING PERMIT
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Subdivision PUD Filing
PERMIT FEES
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Sales Tax No.
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Fire Sprinkler
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No. of Stones
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TOTAL FEES
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Ocupant Load
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Fire Containment
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Nq of Dwelling Unns
No. of Bedrooms
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UNDERBROUND SPRINKLER
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ZBA C.T. _ '^ BRA Case No.
DEPARTMENTAL
Permit No. Permit Date
DEPARTMENT
STATUS
DATE
i t i
As a condition for the issuance of a {iermit, 1 hereby declare that I am
OTC PER4IT
ISS
and owner or the owner's agent, authorized to perform the proposed
work on the property described herein. I agree to comply with all the
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requirements contained herein, and City ordinances, and State laws
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associated with such work. I understand that such permit may be
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revoked
ked in the nt that issuance was based on incorrect information-
Date
LEFT
SITE SETBACKS
REAR
FRONT
RIGHT
CALL 221-6769
TO SCHEDULE INSPECTIONS
(See reverse side for
Inspection Description)
ISS
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1RIGINAL - F LE, BLUE -OFFICE, CANARY - SALESTAX, PINK -APPLICANT, TAG -FIELD CARD