HomeMy WebLinkAbout2112 Stover St - Permits - 06/04/1990DEVELOPMENT SERVICES/BUILDING PERMITS & INSPECTIONS DIVISION
P.O. BOX 580, FORT COLLINS, CO 80522-0580
221-6769
BUILDING PERMIT
JOB SITE ADDRESS all l ;C jjT/ q (�\
Permit Type
Work Type Category Type
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Proposed Use o O !,
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Use Zone Permit Level
Subdivision ❑ PUD
Filing
Subdivision/PUD
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Building Valuation
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Lot
Block
P No
ACCOUNT
FEE
DATE PAID
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First
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State
Zip
Phone No
Company Name I
Contractor License No.
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Address
City
State
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Zip
Phone
Sales Tax No.
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Construction Type
Occupancy Group
Fire Sprinkler
Building Square Footage
No. of Stories
81dg. Height
TOTAL FEES
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Val P_/�-
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Occupant Load
Occupancy Separation
Area Separation
Fire Containment
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No. of Dwelling Units
No. of Bedrooms
Fireplace; Stoves
Basement
Stock Plan
Options
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Text'.
LA, 6-
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ZBA Case No. BBA Case No.
Permit No. Permit Date
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.
Signature / Date,
DEPARTMENT I STATUS I DATE
ORIGINAL - FILE, BLUE - OFFICE, CANARY - SALES TAX, PINK - APPLICANT, TAG - FIELD CARD
LEFT
SITE SETBACKS
REAR
FRONT
RIGHT
CALL 221-6769
TO SCHEDULE INSPECTIONS
(See reverse side for
Inspection Description)