HomeMy WebLinkAbout233 3rd St - Permits/Garage - 07/18/1990DEVELOPMENT SERVICES/BUILDING PERMITS & INSPECTIONS DIVISION
P.O. BOX 580, FORT COLLINS, CO 80522-0580
221-6769
ty ,o o ns
BUILDING PERMIT
JOB SITE ADDRESS -3'd
- i I RU ES
Pennij FYp ., , ,g11S
3J1__INi7
rType
lY��u
Category- Type_
y rU,i l:_'.'�.v rL
ci
w
Peopgge
Use Zone
Petyt�lt Level,
A.
Subdivision
PUD
Filing
PERMIT
FEES
Q
w
Subdivision/PUD
Building valuation
J
Lot
Block
Parcel No.
ACCOUNT
FEE
LgAst 1 -
First - '
M.I.
w
c Jn P Hill' WITH'
nd�e a
city _
Y _
G__ or\u 5!
L�:'l�
GI Y SALES USE rR
6ai'3
O
State.
'_J
Zip .
OtJ �3t`F
Phone No.
Company Name
Contractor License No.
O
H
Q
Addmse
City
State
Z
0
Zip
Phone
Sales Tax No.
Building Square Footage No. of Stories Bldg_ Height TOTAL FEES
�'ii, =3
Occupant Load Occupancy Separation Area Separation Fire Containment
O
LL No of Dwelling Units No. of Bedrooms FuePlace/Stoves Basement Stock Plan Options
O
Z T
a
U
N
w
O
9t11.::F r: reru{ti. a aCJq 17"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.
�F
LEFT
DATE PAID
DEPARTMENT I STATUS I DATE _
rlhiTy'_ rrrs',Ci1 nn�7_n
:-'l N Lulr__ ?, _I, Electrlcal
SITE SETBACKS
REAR
FRONT
RIGHT�r
CALL 221-6769
TO SCHEDULE INSPECTIONS
(See reverse side for
Inspection Description)
Mechanical