HomeMy WebLinkAbout3555 STANFORD RD - PERMITS - 10/13/1992DEVELOPMENT SERVICES/BUILDING PERMITS & INSPECTIONS DIVISION
P.O. BOX 580, FORT COLLINS, CO 80522-0580
SITE SETBACKS
221-6769
REAR
tf� BUILDING PERMIT
LEFT RIGHT
JOB SITE ADDRESS
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Permit Type -
Work ype, - - ' Category Type
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ProposeB se Use Zcine ' Permit'Level'
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' SubdivisionEj PUD Filing PERMIT FEES
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Subtlivision/PUD Building Valuation
FRONT
Lot
Block
Parcel No,
ACCOUNT
FEE
DATE PAID
Last
First
M.I. -
Lot Area
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9.
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Address
City
Plat File No.
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BLDG PERMIT WITH
165.35
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CITY SALES `ISE TA
233.:'S
State Zip
Company Name -
Phone No.
Contractor icense o.
Off St. Parking
¢
REQUIRED INSPECTIONS
Address
City -
State
G
CALL 221-6769
TO SCHEDULE INSPECTIONS
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(See reverse side for
Zip ` - ` none _ _ ales Tax No.
Construction ype - Occupancy Group 'Fire Sprinkler
Inspection Description)
Building Square Footage
No, o Stories
Bldg, Height
TOTAL FEES
11 c
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i7i
Occupant Load
Occupancy Separation
Area Separation
Fire Containment -
R
4 E
y lY
1 3
'� 1
t• ra t;
�' � � M
No. Dwelling Units
ng
No. of Bedrooms
No. of Bathrooms
Fireplace/Stoves
Basement
Stock Plan
Options
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Text..
O
ERMIT
165.38N
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233.75
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399.13
ZBA
Case No.
SBA Case No.
DEPARTMENTAL
REVIEW
Permit No,
Permit Date
DEPAMTMENT
STATUS
DATE
SUB
CONTRACTORS
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As a condition o he issuance of a permit, I hereby declare that I am an owner
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Electrical
or the owner's agent, authorized to perform the proposed work on the property
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POUDRE FIRE
!
PASSEL
921-00
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
Mechanical
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.
Plumbing
Signature -"
Date
L
/
ORIGINAL - FILE, - OFFICE,'CANARY - SALESTAX, PINK - APPLICANT, TAG - FIELD CARD