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HomeMy WebLinkAbout1842 Overlook Dr - Permits - 04/12/1993DEVELOPMENT SERVICES/BUILDING PERMITS & INSPECTIONS DIVISION SITE SETBACKS P.O. BOX 580, FORT COLLINS, CO 80522-0580 221-6769 REAR Cityo fort o ins BUILDING PERMIT 76 B LEFT RIGHT JOB SITE ADDRESS PerKUt4UINU 7xwe Cate Fullity DtftclLhed 20 a Pr waspPer t Subdivision PUD Filing J < Su U Building Valuation w FRONT Lot Block Parcel — — 11 ACCOUNT FEE DAIS PAID La First M.I. BLDG PERMIT WITH 406.35 Lot Area z PARKLAND FEE 625.00 AdLLEVtLHNU cty UVhLANU Plat File No 3 CITY SALES USE TA 836.25 0 STREET DVERSIZING 584.00 state zip a PhoneN — otfst.Parking STORM DRAINAGE ELECTRIC UNDERGRO 639.74 354.00 Company Name Contractor hcense No. REOUIRED INSPECTIONS WATER PIF 2511.28 SEWER PIF 1600.00 CALL221-6769 Address City State TO SCHEDULE INSPECTIONS Zip Phone Sales Tax No. �z (See reverse side for Inspection Description) (Construction Type Occupancy Group Fire Sprinkler S� WTR SWR RP Fir SWR UGP RE UGP- WTR GL RM Building Sqa-zallige No. ALStories Bldg. Height TOTAL FEES I • ¢ Occupant Load a Occupancy Separation Area Separation Fire Containment FR FNB FNM FP FNE SPI EG FNP N� O DwelNo. of drooms No. athrooms Fireplace/Stoves Basement Stock Plan Options o Te a' STOCK PLAN a. OPTION A U U w O ZBA Case No. BBA Case No 1993 Permit No. - "'(� Perm a , ZONPROkRTMENT ST,MSED' iiQ'ENGINEERING • • As a condition for the issuance of a permit, I hereby declare that I am an owner WATER & SEWER IFMQ��Id PASSED 921006 Electrica or the owner's agent, authorized to perform the proposed work on the property LIGHT & POWER PASSED 921005 described herein. I agree to comply with all the requirements contained herein, STREET OVERSIZE PASSED 92.1006 and City ordinances, and State laws associated with such work.I understand that PLAN CHECK PASSED 921106m,,949PONHEATING " AIR 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. Plum i Signature Dat ( L— Z —� 7 7 UHKiINAL - FILL BLUE - UEEICE, CANAHY - SALESIAX, PINK - APPLICANT. TAG - FIELD CARD