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HomeMy WebLinkAbout114 BRISTLECONE DR - PERMITS - 9/6/1996SETBACKS Community Planning & Environmental Services BUILDING � �� T PERMIT REAR Building Permits & Inspections Division V P.O. Box 580 221-6769 ns Fort Collins, CO 80527r0580 City of Fort Collises LEFT 120 RIGHT JOB SITE ADDRESS 11 3e r Permit Type Work Type Category TYPE z BUILDING NEW OFFICE - WProposed Use Zara Level Use Permit a. MEDICAL HC FULL FINAL FRONT J Subdivision ❑ PUDO Filing 3 < Subdivision/PUD Building Valuation W COUNTRY CLUB CORNERS REPLAT NO.1 1000000 20 J Lot 3 - Block Porel No. =ACCOUNT -� "` -- r fEE s DATE PAID;} ,a , Last First M.I. Lot Area ce VALLEY HOSPITAL POUDRE CHECK FEE 1743.95 960417 36932 Z pPLAN vLli�i PERMIT'-TH _ ''2'�a5 r . ` Address City Plat File No. 3 1024 LEMAY AVE FORT COLLINS es0f55�4 ems' 1017-9 Aote Zip Phone No. �_� y�°al'M t�.e� Crl T JALCO VSC _C � emis�m�m 0.00 OH St. Parking CO 80524 495-7000 F ciiLlNTY� SALES TAX t 100955 0 rq0 ab E.:.: PUD s Company Nome - Contractor License No. DRAHOTA CONSTRUCTION CO. B-91 ..e�100955.e1...a. Tax Stories SC a Occupanc, Load 65 Occupancy Separation NO Area Separation N A hre Containment NO 3 No. of Dwelling Units No. of Bed roams No. of Bothrooms Stock Plan/Options - ,,� . W aT'OTAt FEES .: ,� 0 ����..36042.85. Z O Text NEW CLINIC 6771res backflow preventer on domestic & fire lines -contact John Nelson 221- a v N W 0 Permit pate SEPTEMBER 6, 1996 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 maybe 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. TO SCHEDULE INSPECTIONS (See reverse side for Inspection Description) SBF UGM SWR GL EG FD UGE GREGORY ELECTRIC POUDRE VALLEY AIR CORMAN MECHANICAL UGP WTR ESC RE FP Date DOUGLASS ROOFING"CO