HomeMy WebLinkAbout2019 Langshire Dr - Permits - 06/15/1994i!
DEVELOPMENT SERVICES/BUILDING PERMITS & INSPECTIONS DIVISION
SITE SETBACKS
P.O. BOX 580, FORT COLLINS, CO 80522-0580
221-67696
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ACCOUNT
FEE
DATE PAID
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CALL 221-6769
TO SCHEDULE INSPECTIONS
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(See reverse side for
Zip
Phone 484-1
Sales Tax OW V I V
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Inspection Description)
Construction Type
Occupancy Group
Fire Sprinkler
FNP
Building Square Footage
No. of Stories
Bldg. Height
TOTAL FEES
•
Occupant Load
Occupancy Separation
Area Separation
Fire Containment
O
3
No. of D.Il'mg Units
No. of Bedrooms
No. of Bathrooms
Fireplace/Stoves
Basement
Stock Plan
Options
2
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C ECK I;15.00
ZBA Case No. 68A Case NoPerini[No.
LAtIT
Fermi TAOE t 1994
DEPARTMENT SWUSPER T--TDM•
•
Electrical
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
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 from the date of such permit.
Plumping
Signature
Date
ORIGINAL - FILE, BLUE - OFFICE, CANARY - SALESTAX. PINK - APPLICANT, TAG - FIELD CARD