HomeMy WebLinkAbout2936 Mercy Dr - CO/LOC - 06/07/1993DEVELOPMENT SERVICES/BUILDING PERMITS & INSPECTIONS DIVISION
SITE SETBACKS
P.O. BOX 580, FORT COLLINS, CO 80522-0580
221-6769
REAR
Ctyo o s BUILDING PERMIT
LEFT RIGHT
JOB SITE ADDRESS 2936 MERCY DR
F
Pep? i iit DING
w�iTTER AT LOIN Catergr'MyTie Faffuly Detachedi
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d
Pro TD ENTrA.I
Us `rw Permir yell FINAL
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Subdivision PUD ❑
Filing
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Subdivision/PUO
Building Valuation --r - -
3r 00
FRONT
Lot
Block
Parcel No.
ACCOUNT
PEE
DATE PAID
Last IFE
First PiCHARD
M.I. APLAN
CHECK FEE
i5. CIO
Lot Area
LD6 PERMIT WITH
60.OQ
Ad A jh ;DER,CEY 0
City E]RT COLLINS
Plat File No.
3
CITY SALES USE TA
55.51)
O
State CO Zip 8()S26
Company Name
Phone N2,03-4192
Contractor License No.
Off St Parking
O
REGUIRED INSPECTIONS
F
CALL221-fii69
Address
City
State
Z
TO SCHEDULE INSPECTIONS
Zip Phone Sales Tax No.
O
(See reverse side for
V
Construction Type Occupancy Group Fire Sprinkler
Inspection Description)
L P
`jL
R P
Building Square Footage
No. of Stones
Bldg. Height
TOTAL FEES
130.58
Ric
e.
r
Occupant Load
Occupancy Separation
Area Separation
Fire Containment
LL
t
!•`^ H/''
ly'
No. of Dwelling Units
No of Bedrooms
No. of Bathrooms
Fireplace/Stoves
Basement
Stock Plan
Options
O
o
TeVTNTSH BASEMENT 616 SQUARE FEET
i=
a
ZBA
Case No.
BBA Case No.
Peurn N()_ (,)v7'St'yiii /'l/ !,
Permj4ereE i , ? 993
=�4
7nNDEPARTMENT
STATU iSED
DATE
PLAN 'CHECK
PASSED
93o6u3
El ectrical
As a conditio for the issuance of a permit, I hereby declare that I am an owner
or the ow '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 fr m t e dat suc ermit.
Plumbing
'1F
Signature'
Date —92;
UHIOINAL - f-iLi CLUL - UMB6L, UANAHY - SALLS IAX, PINK - APPLICAN I, IALj - HLLU CAHU