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HomeMy WebLinkAbout3101 Rustic Ct - Permits - 10/27/1995Community Planning & Environmental Services BUILDING PERMIT Building Permits & Inspections Division P.O. Box 580 221-6769 Cityof F B Fort Collins, CO 80522.0580 JOB SITE ADDRESS F Permit Type Work Type Category TYPE Proposed Use Use Zone Permit Level d Subdivision PUD ❑ Filing PERMIT J � Subdivision/PUD Building Valuation W J Lot Block I Parcel Mo. aC WZ A O S Tax No. LEFT SETBACKS REAR FRONT RIGHT Lot Area BLDG PERMIT FLAT 15.00 CITY SALES USE TA 0.00 Plat File No. Off St. Parking REQUIRED INSPECTIONS CALL221-6769 TO SCHEDULE INSPECTIONS (See reverse side for Inspection Description) Building Square Footage No. of Stories Bldg. Height TO7ALFEES I tF, 429 Id Occupant Load O=up ad 3 No. of Dwelling Units HBedrooms N W Z o. of Z Text g REPLACE EXISTING FURNACE. U U N W As a condition for the issuance of i 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. 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. ISS N/A Mechanic N/A Signature Dote l I N/A GL I FNM I SPI