HomeMy WebLinkAbout2219 Sunleaf Ct - Permits - 06/25/1992„p DEVELOPMENT SERVICES/BUILDING PERMITS & INSPECTIONS DIVISION
6
P.O. BOX 580, FORT COLLINS, CO 80522-0580
221-6769
City of o BUILDING PERMIT
JOB SITE ADDRESS _
r Permit Type Work Type Category Type
¢ Proposed Use Use Zone Permit Level
Subdivision PUD F Filing
Q
Subdivision/PUD
Building Valuation
w
J
Lot
Block
Parcel No.
-
ACCOUNT
FEE
DATE PAID
Last
First
M.I.
Z
Address
City
State
Zip
Phone No.
O
i=
Company Name
Contractor License No.
O
Q
Address
City
State
Z
O
Zip
Phone
Sales Tax No.
Construction Type
Occupancy Group
Fire Sprinkler
Building Square Footage
No. of Stories
Bldg. Height
TOTAL FEES
Y
Occupant Load
Occupancy Separation
Area Separation
Fire Containment
O
3
No. of Dwelling Units
No. of Bedrooms No. of Bathrooms
Fireplace/Stoves
Basement
Stock Plan
Options
0
O
Text:
U
N
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ZBA Case No. BBA Case No.
Permit No. Permit Date
y _ +
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. This permit shall become null and void if the work authorized by
such permit is not commenced, suspended, abandoned, or not inspected within
180 days from the date of such permit.
Signature 171 Date
TAG -
DEPARTMENT
rt
STATUS
DATE
LEFT
Area
File No.
St: Parking
SITE SETBACKS
REAR
RIGHT
FRONT
CALL 221-6769
TO SCHEDULE INSPECTIONS
(See reverse side for
Inspection Description)
UM 2 AA 1 2
ULH 2 AA 1 62
ERMIT I50A
150.00
150.00
JUN92 AA 1263
lanic*EFD
2 j W2 AA -1263
PERMIT $150.00NT
bing
AMTOUE 1S0.00