HomeMy WebLinkAbout1219 Silk Oak Ct - Permits - 11/09/1992DEVELOPMENT SERVICES/BUILDING PERMITS & INSPECTIONS DIVISION
SITE SETBACKS
1 IaS, nvj�,9v..
" P.O. BOX 580, FOR"f COLLINS, CO 80522-0580
221-67C 9
REAR
City e ri CoHins BUILDING PERMIT
JOB SITE ADDRESS
LEFT RIGHT
F-
Permit Type
Work Type Category Type
w
Proposed Use
Use Zone Permit Level
_
Ci_t_1`ti_
r,
"- -
SubdivisionEl PUD 0
Filing
PERMIT FEES
Q
SUWIVISloy/ q_ _-
Building Valuation
FRONT
Lot
Block -
Parcel No= _
ACCOUNT
FEE
DATE PAID
Last.
First
M.I.
Lot Area
w
t LIU " tc'°i1t WLiE1
whro Uii
Address
City
Plat File No.
_
�
-.. ._ ,,...
--
P"RKLAND FEE
,. ,.
6 5: ti3_I
o
-
-
-" ` -+
State_
Zip
Phone No
Off St. Parking
_
in 1,
_ _
_
+Vi i us v a• r s
"{ h'i.Jrr4 ui..:
F9 ov
Company Name
Contractor License No.
o
ELECTRIC UNDERGRO
329 itt
1
REQUIRED INSPECTIONS
Q
r -
-' "I
CALL 221-6769
Address
City
State
_» _'
- -
TO SCHEDULE INSPECTIONS
o
(See reverse side for
Zip
Phone
Sales Tax No.
U
Inspection Description)
Construction Type
Occupancy Group
Fire Sprinkler
-
Building Square Footage
No. of Stories
Bldg: Height
TOTAL FEES
6956.95
�
Occupant Load
Occupancy Separation
Area Separation
Fire Containment
_
3
_
u_
No. of Dwelling Units
No. of Bedrooms
No. of Bathrooms
Fireplace/Stoves
Basement
Stock Plan
Potions
O
_
_
o
Text,
v'J
J
U
V1
ZBA Case No.
BBA Case No.
• •♦
Permit No,
Permit Date
DEPARTMENT
STATUS
DATE
• •
--` -=_-
-Electrical
As a condition for the issuance of a permit, I hereby declare that I am an owner
T ,%Z h
_
or the owner's agent, authorized to perform the proposed work on the property
$ i C'RM D= AINASE
W ItUPtE
described herein. I agree to comply with all the requirements contained herein,
FER K.A f (ry MAI r
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
` , `r
information. This permit shall become null and void if the work authorized by
rggyy uJENSL' )
E;
�IiL4
r'� n
fA-aSEL
9210iY
such permit is not commenced, suspended, abandoned, or not inspected within
PLAN tiECk:
GL
f ;55EC
�2Lt, s
180 days from the date 9f such permit.
Plumbing
Signature i Date
ORIGINAL - FILL, BLUE - OFFICE, CANARY - SALESTAX, PINK - APPLICANT, IAG - FIELD VAHU