HomeMy WebLinkAbout2813 Michener Dr - Permits - 05/29/1992I
DEVELOPMENT SERVICES/BUILDING PERMITS & INSPECTIONS DIVISION SITE, SETBACKS
P.O. BOX 580, FORT COLLINS, CO 80522-0580
221-6769 REAR
City Of Writ C011infil BUILDING PERMIT
JOB SITE ADDRESS , , ,,,
F Permit Type Mrk Type Category Type LEFT RIGHT
aPropos Use l)se Tone - - perms Level - - 4 - -
I T
Subdivision PUD Filing
PERMIT FEES
J Subdivision/PUD
Building Valuation
14
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Lot Block parcel FRONT
No. a COUNT, y,rE , b1
OrC
Last First Mwap.I. Lot Area
w Address City s r�a� �>:�I1�yFpp' AT
Z 'nsHy.a7 WA x t Plat File No.
3 l• : Y J
O State Zip - Phone No. - - - OH St. Parking
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cc Company Name Contractor License No.
REQUIRED INSPEdIONS
Al= FURNACE
ess — jd City State CALL 221-6769
_ W _ _ TO SCHEDULE INSPECTIONS
O
Z !Zip Phone SaFes Tax No.
.< r ;-_ a-..�. _ •c _ _ fee-reverse-Side-for-
U Inspection Descriptior,l
Construction ype Occupancy Group Fire Sprinkler
Building Square Footage Na of Stories Bldg. Height r _
€ t`6fAL FEES
F y
Occupant Load Occupancy Separation Area SeparationFire Containment
O
3
ty No. of Dwelling Units No. of Bedrooms No. of Bathrooms Fireplace/Stoves Basement Stock Plan Options
O
Z
O Text:
INSTALLA-ION Or— A/C
U
4 AA 803
4 2 AA 803
IT $15.00 T
ZBA Case No. BBA Case No. , UE $15 . 00
00
Permit No. Permit Date
f Q h O , r. 5f, g7CC
T11C PF MI1 TSS Electrical
As a conditi f the issuance of a permit, 1 hereby declare that 1 am an owner
or the ow is agent, authorized to perform the proposed work on the property ,' ;
describer, erein. I agree to comply with all the requirements contained herein.
and CitYY,'ordinances, and State laws associated with such work.I understand that Mechanical
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 fr the date of such permit. Plumbing
Signature r Date
ORIGINAL - FILE, BLUE - OFFICE, C ARY - SALESTA - APPLICANT, TAG - FIELD CARD