HomeMy WebLinkAbout1631 Tanglewood Dr - Permits/Water Heater - 03/30/1994DEVELOPMENT SERVICES/BUILDING PERMITS & INSPECTIONS DIVISION
SITE SETBACKS
P.O. BOX 580, FORT COLLINS, CO 80522-0580
221-6769
REAR
City of o B BUILDING PERMIT
JOB SITE ADDRESS
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LEFT RIGHT
Permit Type
Work Type Category Type
-
wProposed
Use
Use Zone Permit Level
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Subdivision PUD
Filing
Q
Subdivision/PUD
Building Valuation
7
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FRONT
of
Block
Parcel No.
ACCOUNT
FEE
DATE PAID
Last
First
M.I.
Lot Area
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Address
City
Plat File No.
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State Zip
Company Name
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Phone No.
Contractor License No.
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Off St. Parking
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REQUIRED INSPECTIONS
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_-
Q
CALL 221-6769
Address
City
State_
TO SCHEDULE INSPECTIONS
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(See reverse side for
Zip Phone Sales Tax No
n
Construction Type Occupancy Group Fire Sprinkler
Inspection Description)
Building Square Footage
No. of Stories
Bldg. Height
TOTAL FEES-
9C,a=JV
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Occupant Load
Occupancy Separation
Area Separation
Fire Containment
No. of Dwelling Units
No. of Bedrooms
No. of Bathrooms
Fireplace/Stoves
Basement
Stock Plan
Options
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Text
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ZBA
Case No.
BBA Case No.
Permit No T
Permrt Date
DEPARTMENT
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
UHIGINAL - FILE, BLUE - OFFICE, CANARY - SALESTAX. PINK - APPLICANT. TAG - FIELD CARD