HomeMy WebLinkAbout1227 W Mountain Ave - Permits/Gas - Log, Line, Pipe - 05/31/1990DEVELOPMENT SERVICES/BUILDING PERMITS & INSPECTIUNS UIV151UIN
P.O. BOX 580, FORT COLLINS, CO 80522-0580
221-6769
,o o s BUILDING PERMIT
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Work Type Category type
Permit Type SINGLE FAMILY DETA.0
A TRATI
� MECHANICAL Permit Level
dProposed
Use
Use Zone
R SIDENTIAL
Subdivision
Filing
PLO
J
Q
Subdivision/PUD
J
Lot
Block
Last
SHANEL
First
DANIEL
w
Address
City
-
Z
TIMOUINIT 'i
30
State
Zip
Phone No.
r
_ii7�
Company Name
Contractor License No.
o,
n.
T
1AP— I LI
U
Address
4 i. SITEA
City
FT COLLIP
Z
Zip
Phone
t -
221 14990
Construction Type
Occupancy Gr
Building Square Footage
No. of Stories
O
Occupant Load
Occupancy Separation
3
No of Dwelling Units
No of Bedrooms Fireplace/Sto
0
Z
O
a
Text:
BROKEN GAS LINE
FOR GRILL REPLACED
a
U
w
Building Valuation
No- ACCOUNT
BLDG PERMIT FLAT
State
Tax No,
Area Separation
ZBA Case No. BBA Case No.
Permit No. Permit Date
0900773 MAY 31, 1990
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 such permit may be
revoked in the event that issuance was based on incorrect information.
r. I /9� _
4�
Signature /�...I� �': � J - [�C'
�a r• Qi a- _ nFFIrF c4NARY - SALESTAX, PINK APPLICANT, TAG FIELD CARD
TOTAL FEES
Fire Containment
DEPARTMENT
SITE SETBACKS
REAR
LEFT 1-1RIGHT
L�
FRONT
FEE DATE PAID
Lot Area
Plat File No,
Off St Parking
REQUIRED INSPECTION
CALL 221-6769
TO SCHEDULE INSPECTIONS
(See reverse side for
Inspection Description)
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STATUS I DATE, .._°`'
'AFGMITT iSS lElectrical
Mechanical
Plumbing