HomeMy WebLinkAbout1513 Shadow Mountain Ct - Permits/Water and or Sewer - 06/01/1992DEVELOPMENT SERVICES/BUILDING PERMITS & INSPECTIONS DIVISION SITE SETBACKS
P.O. BOX 580, FORT COLLINS, CO 80522-0580
a 221-6769 REAR
CKV Of FWt conins BUILDING PERMIT
JOB SITE ADDRESS
F_ Permit Type Work Type Category LEFT RIGHT
Proposed Use Use Zone Permit Leve
E 3 7" jj
Subdivision PUD Filing PERMIT FEES
Subdivision/PUD Building Valuation
---F Lot I Block Parcel No. FRONT
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Address
City
Plat File Na.
H DO W M C N TA 7 N
T
State
Zip
Phone No.
Off St. Parking
3 S 2 S 1
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Company Name
Contractor License No.
0
A STY2, & SEAJIWI
MP-4
. .......
REQUIRED INSPECTION
CALL 221-6769
Address
City
3. I -INK L N
N S
TO SCHEDULE INSPECTIONS
Zip
PhoneSales
Tax No.
Z
0
(See reverse side for
U
Inspection Description)
Construction Type
Occupancy Group
Fire Sprinkler
Building Square Footage
No. of Stories
Bldg. Height
all
Occupant Load
Occupancy Separation
Area Separation
Fire Containment
O
No. of Dwelling Units
No. of Bedrooms
No, of Bathrooms
Fireplace/Stoves
Basement
Stock Plan
Options
0
Z
0
Text:
-E-
Permit No. Permit Data
0921389 11 1992
-mmIqW, 4EM�4
i
,-UNE
2
Electrical
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
00
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
Mechanical
such permit may be revoked in the event that issuance was based on incorrect
information. This permit shall become null and void if the work authorized by
such permit is not commenced, suspended, abandoned, or not inspected within
tT 4
180 days from the date of such permit.
Plumbing
Signature Dow
. 4 4, 21—M
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v WE
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ORIGINAL - FILE. BLUE - OFFICE. CANARY - SALESTAX PINK - APPLICANT..TAG - FIELD CARD