HomeMy WebLinkAbout121 Sylvan Ct - Permits - 07/19/1993 (2)DEVELOPMENT SERVICES/BUILDING PERMITS & INSPECTIONS DIVISION
SITE SETBACKS
P.O. BOX 580, FORT COLLINS, CO 80522-0580
221-6769
REAR
cttyo rt o ms BUILDING PERMIT
LEFT RIGHT
JOB SITE ADDRESS
F. Permt_LType., ,_ _.
Work Type -. _
Category _Type
Proposed UsR _.- _ _
Use Zone
Permit Level
Subdivision PUD Filing
Building Valuation
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Subdivision/PUD
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FRONT
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Block
Parcel No.
ACCOUNT
FEE
DATE PAID
Lot Area
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I Address
City
Plat File No.
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State _ _ Zip _
Ccopany. Name _ _
'h_'—_
Phone No.
Contractor License I�o_.
Off St. Parking
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REQUIREDINSPECTIONS
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CALL 221-6769
Address. _ _ _ _
City - -
state_ _.
TO SCHEDULE INSPECTIONS
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(See reverse side for
Zip Phone Sales Tax No. �_
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Construction Type Occupancy Group Fire Sprinkler
Inspection Description)
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3.061ng Square Footage
No. of Stories
Bldg, Height
TOTAL FEES
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Occupant Load
Occupancy Separation
Area Separation
Fire Containment
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No. of Dwelling Units
No. of Bedrooms
No. of Bathrooms
Fireplace/Stoves
Basement
Stock Plan
Options
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ZBA
Case No.
BBA Case No.
11111 RIM
Pernrt Nn
DEPARTMENT
STATUS
DATE
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Electrical
As a condition for the issuance of a permit, I hereby declare that 1 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
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Signatur.
7
Date
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ORIGINAL - FILE. BLUE - OFFICE, CANARY - SALESTAX, PINK - APPLICANT, TAG - FIELD CARD