HomeMy WebLinkAbout2643 Shadow Ct - Permits/Gas - Log, Line, Pipe - 11/19/1991IN DEVELOPMENT SERVICES/BUILDING PERMITS & INSPECTIONS DIVISION
IN DEVELOPMENT
" P.O. BOX 580, FORT COLLINS, CO 80522-0580
221-6769
ity ot Imt colims BUILDING PERMIT
JOB SITE ADDRESS SHAu�-Dw' fr
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zip 8OS2S
Phone Np23-9484
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Construction Type
Occupancy Group
Fire Sprinkler
Building Square Footage
No. of Stories
Bldg. Height
occupant Load
Occupancy Separation
Area Separation
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No. of Dwelling Units
No. of Bedrooms
Fireplace/Stoves
Basement
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ZBA Case No.
Permit No. 0 9 13 311
BBA Case No.
Perrrg4jBE.`( ' 9, 1991
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 I Date
ORIGINAI - FII F RI I IF - OFFICF CANARY - RAI FSTAX PINK - APPLICANT TAG - FIFI D CARD
LEFT
700
FEE DATE PAID
5, I) o R 1 t'? 9 Lot Area
U.Uu Il 19
Plat File No.
Off St. Parking
SITE SETBACKS
REAR
FRONT
RIGHT
CALL 221-6769
TO SCHEDULE INSPECTIONS
(See reverse side for
Inspection Description)
TOTAL FEES 1 15.00 1 1 1 SL 1 I_S
Fire Containment
Stock Plan Options
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DEPARTMENT I s=4s ,,. L , D..
Electrical
Mechanical
Plumbing