HomeMy WebLinkAbout1505 E Pitkin St - Permits - 09/20/1990DEVELOPMENT SERVICES/BUILDING PERMITS & INSPECTIONS DIVISION
P.O. BOX 580, FORT COLLINS, CO 80522-0580
MON 221-6769
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JOB SITE ADDRESS
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SubdivisionEl
PUD
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Lot
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City
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State
Zip
Phone No.
Company Name_
Contractor License No.
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Construction Type Occup
Building Square Footage No. of
OOccupant Load Occupancy Separation
3 No. of Dwelling Units No. of Bedrooms Firepla
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Sales Tax No.
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Area Separation Fire Containment
Basemen[ I Stock Plan
ZBA Case No. BBA Case No.
Permit Nn. _ Permit Date
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
associated with such work. I understand that such permit may be
revoked in the event that issuance was based on incorrect information.
Sign one Date
ORIGINAL - FILE, BLUE - OFFICE, CANARY - SALESIAA, PINK - APPLICANT, TAG -FIELD CARD
SITE SETBACKS
REAR
LEFT RIGHT
FRONT
FEE DATE PAID
Lot Area
(}0 Plat File No.
OF St. Parking
CALL 221-6769
TO SCHEDULE INSPECTIONS
(See reverse side for
Inspection Description)
7 -T-
Options
DEPARTMENT STATUS DATE
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