HomeMy WebLinkAbout3555 STANFORD RD - PERMITS - 10/20/1989DEVELOPMENT SERVICES/BUILDING PERMITS & INSPECTIONS DIVISION
P.O. BOX 580, FORT COLLINS, CO 80522-0580
221-6760
CitvofFort o's BUILDING PERMIT
JOB SITE ADDRESS
Permit Type _ Work TypeCategory Type
w Proposed osed Use Use Zone Permit Level
_
Subdivision n PUD n Filing
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City
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State
Zip
Phone No.
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Company Name
Contractor License No.
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Address
City _
State
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to
Zip
Phone
Sales Tax No.
Construction Type
Occupancy Group
Fire Sprinkler
Building Square Footage
No. of Stories
Bldg. Height
CC
Occupant Load
Occupancy Separation
Area Separation
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_
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No. of Dwelling Units
No. of Bedrooms
Fireplace/Stoves
Basement
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ZBA Case No. BBA Case No.
Permit No Parent pate
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.
Signature / 4 / //Ai - // I Date . —I — — /at
11
ACCOUNT
Plan Check
Bldg. Permit
Parkland
City Sales Tax
Street Oversizing
Water Plant Investment Fee
Sewer Plant Fee
Electric Underground
Water Rights
Trunkline
Misc.
SITE SETBACKS
REAR
LEFT
FRONT
FEE DATE PAID
Lot Area
f .h.,a r G?' Plat File No.
Off St. Parking
TOTAL FEES
Fire Containment
Stock Plan Options
RIGHT
CALL 221-6769
TO SCHEDULE INSPECTIONS
(See reverse side for
Inspection Description)
DEPARTMENT STATUS DATE •
Zoning - - Electrical
Engineering -
Water & Sewer
Light & Power
Street Oversizing Mechanical
Storm Drainage
Plan Check a -
Poudre Fire Authority J i'{
Latimer County Health Plumbing