HomeMy WebLinkAbout2124 Romney Ave - Permits/Water Heater - 11/18/1991DEVELOPMENT SERVICES/BUILDING PERMITS & INSPECTIONS DIVISION
SITE SETBACKS
°' ' P.O. BOX 580, FORT COLLINS, CO 80522-0580
221-6769
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JOB SITE ADDRESS 21244 p!r,ViEY _IW
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Permit Type
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Work Type
Category Type
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Proposed Use
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Use Zone
Permit Level
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Phone N�62_44i
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REQUIRED INSPECTIONS
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CALL 221-6769
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TO SCHEDULE INSPECTIONS
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(See reverse side for
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Phone i A; �-
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Sales Tag 7
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Inspection Description)
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Construction Type
Occupancy Group
Fire Sprinkler
Building Square Footage
No. of Stories
Bldg. Height
TOTAL FEES
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15 • V4`
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Occupant Load
Occupancy Separation
Area Separation
Fire Containment
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3
No. of Dwelling Units
No. of Bedrooms
Fireplace/Staves
Basement
Stock Plan
Options
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ZBA Case No.
BBA Case No.
Permit No. '1q l,vL/b
PerrrM .ahEE`1 18, 1991
DEPARTMENT
G(�T1p� S
wi • • i I•
PER!
Etec rical'`
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As a con Rion for the issuance of a permit, I hereby declare that I am
-
an own" r or the owner's agent, authorized to perform the proposed
work on the property described herein. I agree to comply with all the
Mechanical
requirements contained herein, and City ordinances, and State laws
associated with such work. I understand that such permit may be
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revoked in the event that issuance was based on incorrect information.
Plumbing
Signature
Date