HomeMy WebLinkAbout124 E Stuart St - Permits - 10/03/1989DEVELOPMENT SERVICES/BUILDING PERMITS & INSPECTIONS DIVISION
SITE SETBACKS
P.O. BOX 580, FORT COLLINS, CO 80522-0580
axl4ww221-6760
REAR
4_ BUILDING PERMIT
LEFT RIGHT
JOB SITE ADDRESS
_
Permit Type ,. _.
Work Tyne Category Type
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Proposed Use
Use Zone Permit Level
Subdivision PUD Filing
PERMIT FEES
Q
Subdivision/PUD
Building Valuation
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FRONT
J
Lot
Block
Parcel No.
ACCOUNT
FEE
DATE -PAID
Lost.
First
na.l.
Plan Check
Lot Area
- - - -
-
Bldg. Permit
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Parkland
- .
Address
City
Plat File No.
City Sales Tax
State _ Zip _
Phone No.
Off St. Parking
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Street Oversizing
- -:
- _ - =- -
Company Name
_' =
Contractor License No.
Water Plant Investment Fee
Sewer Plant Fee
REQUIRED INSPECTIONS
_
-
Electric Underground
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Address _
City
State
Water Rights
CALL 221-6769
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Trunkline
TO SCHEDULE INSPECTIONS
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(See reverse side for
zin Phone sales Tax No.
Construction Type OnGroup Fire Sprinkler
Inspection Description)
Building Square Footage
7
No. of Stories
Bldg. Height
TOTAL FEES
Occupant Load
Occupancy Separation
Area Separation
Fire Containment
LLNo.
.
of Dwelling Units
No. of Bedrooms
Fireplace/Stoves
Basement
Stock Plan
Options
O
O
Text
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UU
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ZBA
Case No.
BBA Case No.
DEPARTMENTAL
Permit No
Permit pate
DEPARTMENT
STATUS
DATE
SUB
CONTRACTORS
Zoning
- ` -
Electrical,- -
As a condition for the issuance of a permit, I hereby declare that I am
Engineering
an owner or the owner's agent, authorized to perform the proposed
Water &Sewer
work on the propertydescribed herein. I agree to comply with all the
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Light &Power
Street Oversizing
Mechanical - -
requirements contained herein, and City ordinances, and State laws
Storm Drainage
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associated with such work. I understand that such permit may be
Plan Check
revoke he event that issuance Villas based on incorrect information.
Poudre Fire Authority
Plumbing
Larimer County Health
-,
Signatu
Date
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