HomeMy WebLinkAbout222 Pine St - Permits - 03/19/1993DEVELOPMENT SERVICES/BUILDING PERMITS & INSPECTIONS DIVISION
P.O. BOX 580, FORT COLLINS, CO 80522-0580
221-6769
61tyBUILDING PERMIT
JOB SITE ADDRESS 222 PINE S-
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Address
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Zip
80524
Phone No.
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Phone
484-9; 44
Sales Tax No.
2181f
Construction Type
Occupancy Group
Fire Sprinkler
Building Square Footage
No. of Stories
Bldg. Height
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Occupant Load
Occupancy Separation
Area Separation
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No. of Dwelling Units No of Bedrooms No of Bathrooms Fireplaco/Stoves
Basemont
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ZBA Case No BBA Case No.
Permit No. L?cPerm1;f�19C
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As a conditi n & _
the issuance of a permit, I hereby declare that I am an owner
or the in is agent, authorized to perform the proposed work on the property
describeI erein. 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
Date
Building Valuation
120 (J
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CiTY SALES USE -SA g8�er
TOTAL FEES
DEPARTMENT
Containment
:k Plan Options
DATE PAID
LEFT
Lot Area
Plat File N.
Off St. Parking
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STATUS DATE
Electrical
Mechanical
Plumbing
SITE SETBACKS
REAR
FRONT
RIGHT
CALL 221-6769
TO SCHEDULE INSPECTIONS
(See reverse side for
Inspection Description)
AA 6143
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AID 6 43
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