HomeMy WebLinkAbout1603 Palm Dr - Permits/Water Heater - 07/13/1993h
DEVELOPMENT SERVICES/BUILDING PERMITS & INSPECTIONS DIVISION SITE SETBACKS
P.O. BOX 580, FORT COLLINS, CO 80522-0580
4ft 221-6769 REAR
City o a BUILDING PERMIT
JOB SITE ADDRESS 1603 PALM DR
Fe"UPER HEATER T �1e ingYe Family Detached LEFT RIGHT
i 'e029YBENTIAL use Zone Parr`gM t/FINAL
Subdivision ❑ PUD Filing
PERMIT FEES
J Subdivision/PUD
0 Building valuation 315 w
J FRONT
Lot Block Parcel No. ACCOUNT . FEE DATE PAID
Iat`'ANTILLI First MARILYNN M.I. N BLDG PERMIT FLAT 15.00 930713 Lot Area
c;,y CITY SALES USE TA O.CU 930713
3 Ad "''CITY COUNTRY CLUB RD FORT COLLINS Plat File No.
O StateCO Zip 80524 Phone1484-2641 - Off Sit Parking
¢ Company Name Contractor License No.
OREQUIRED INSPECTIONS
N
Q Address City State CALL 221-6769
Z TO SCHEDULE INSPECTIONS
Zip Phone Sales Tax No.
• (See reverse side for
Inspection Description)
Construction Type Occupancy Group Fire Sprinkler - / (�
Building Square Footage No. of Stories Bldg. Height TOTAL FEES 15.00 1 .x L.-]3 HH L _ 64
Occupant Load Occupancy Separation Area Separation �" )L 93❑}HH v��
p Fire Containment ERMI T It 15. OOt T
3
O No. of Dwelling Units No. of Bedrooms No. of Bathrooms Fireplace/Stoves Basement Stock Plan Options
Z AM UE $15.00
a ''PLACED WATER HEATER C EC:K $15.00
a
V
N
ZBA Case No. BBA Case No.
DEPARTMENTAL
Permit No. 0931771 "1b Y 13 1993 DEP r,- >. ..
ARTMENT; ' STATUS = DATE • •
` 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
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
180 days from the date of such permit.
Plumbing
Signature Date
ORIGINAL - FILE. BLUE - OFFICE, CANARY - SALESTAX, PINK - APPLICANT, TAG - FIELD CARD