HomeMy WebLinkAbout3313 Sam Houston Cir - Permits/Gas - Log, Line, Pipe - 12/28/1994Community Planning & Environmental Services
BUILDING P E RM I T
SETBACKS
Building Permits & Inspections Division
REAR
P0. Box 580
221-6769
City of Fort Collins
Fort Collins, CO 8052�0580
JOB SITE ADDRESS 3513� _... _..SAM, H0 ST0N', R�-
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CALL 221-6769
TO SCHEDULE INSPECTIONS
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Phone
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Sales Tax No.
16077r
(See reverse side for Inspection Description)
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Construction Type
Occupancy Group
Fire Sprinkler
GL .
LG
Building Square Footage
No. of Stories
Bldg. Height
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Occupant Load
Occupancy Separation
Area Separation
Fire Containment
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No. of Dwelling Units
No. of Bedrooms
No. of Bathrooms
Fireplace/Stoves
Basement
Stock Plan
Options
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PERMIT:
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Case No.
BBA Case No.
Permit Date
QEGEMBER ,28, : 1994 ' ,
DEPARTMENT;
STATUS
DA.TCONTRACTORS
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.MENEM
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I agree to comply with all the requirements contained herein, and City ordinances, and State
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laws associated with such work I understand that such permit may be revoked in the event
Mechanical'
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...
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Signature
Data
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