HomeMy WebLinkAbout312 Poudre St - Permits/Demolition - 02/12/1999Community Planning & Environmental Services
Building Permits & Inspections Division
P.O. Box 580
city Df F=rt C�I� Fort Collins, CO 80522-0580
JOB SITE ADDRESS,; -,, ,>rl(�I,r!
Permit T �e Work Tye
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Subdivision PUD Filing
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Q Subdivision/PUD
� RI°ck Parcel No.
UILDING PERMIT
221-6769
— 80P ;tM
Building
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Contractor license No.
O Company Name
CALL 221-6769
TO SCHEDULE INSPECTIONS
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city
S'°'e
Address
(See reverse side for Inspection Description)
Phone Sales Tax No.
Zip
OFire
Construction Type Occupancy Group Fire Sprinkler P lace/Stoves
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Building Squgrp Footage
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Basement Square Footage
No. of Stories
Building Height
Y Occupancy Load
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OccupancySeparation
Area Separation
Fire Containment
3 No. of Dwelling Units
No. of Bedrooms
No. of Bathrooms
Stock Plan/Options
TOTAL FEES
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Permit Datt i �)l.ifllil' 1 /N r 1 `.`i N3-�
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. This permit shall become null and void if
the work authorized by such permit is not commenced, suspended, abandoned, or not
'inspected
�within
/180p days from the date of such perm
Date
Signature \T(�•L J�"`�
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