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HomeMy WebLinkAbout3556 N PIKE CIR - PERMITS - 3/14/1994DEVELOPMENT SERVICES/BUILDING PERMITS & INSPECTIONS DIVISION SITE SETBACKS P.O. BOX 580, FORT COLLINS, CO 80522-0580 221-6769 REAR tie BUILDING PERMIT JOB SITE ADDRESS =_-- iType _ ^ Cate9r y -a .J_ «LEFTPerart Vdo4_IYPe , RIGHT ww Prctoysj Uae .-. _ - T q. I` Use,Ane Permiul.ei « Subdivision PUD O FilingPERMIT FEES J Q S"W�,°,��1OrT/� ^ -h.r C Building Valuation Block ParcelFRONT Np 7q�1;; ACCOUNT FEE DATE PAID Lai «-C_s. yr,C= First M.I. Lot Area w Ada.�s�.; ^nl - - atv - t��r.:a '�R;1 IWITH r I� c ?ARKLAND FEE 77?.00 Plat File No 4�r o .. ---- € ITY CAI FS TiCE TA 00/ it{j State.-_ Phone Nm.,i, CTREE- T7 Tt.;- Off St. Parking =f nj 01aiV LRAINA- btG., " « ¢ Cop ae�,1 Y. lz Contractor Lim y cin `L).� � O - - - ELECTRIC UNDERGRO 378.00INSPECTIONS add. WATER PIF i'q7/ c,2 • • Q �. i �_ City = T r f State- - T . -. _ -_;v SEWE- pIG .t;';.,iji, CALL221-6769 z «n i 11T ivy, E j 7inspection SCHEDULE Description) INSPECTIONS O 'Zip _(C, .�_ Phone `i `_t.7ty�: Sales Ta> .�.`V WATER PIF/YO CRE -35.00 ee reverse side for Construction Type Occupancy Group Fire Sprinkler Binding Square fve)age N. of Stories Bldg. Height TOTAL FEES 1 'tJb 1. U5 Occupant Load Occu anc se aration '- O P Y P Area Separation Fire Containment u_ No. of Owellrpg Units No. of Bgdrooms No. otBathrooms Fireplace/Stoves Basement - _ Stock Plan Options i, r: O_ Te1�._ f QCC ~ . Co 'PTIONS NONE w -. uJ - o� ZBA Case No BBA Case No, Permit No. `� PermiDat,V �l� i,a,�H DEPARTMENT STATllS DATE • • Ef�'GI!tiEtF'h13 Electrtc�IHC{WT�' E.Fri ??_ As a condif n f r the issuance of a permit, I hereby declare that I am an owner WAT R 'iuER 'ASSET 93122e or the ow er's agent, authorized to perform the proposed work on the property LIG�iT POWER PASSED311? describe herein. I agree to comply with all the requirements contained herein, STREET OVERSIZE PASSEL 44f1112 and i ordinances, and State laws associated with such work. I understand that G._AIE „F-r e^ - 4�1 Mec such permit may be revoked in the event that issuance was based on incorrect t PASSED t�_ . rN@TPIll --O- A," information. i information. This permit shall become void if the work authorized by such permit is not commenced, s nded,fffandoned, or not inspected within 180 days from the date ermit. Plumbing ivr Signature -- ORIGINAL - FILE, BLUE - OFFICE, CANARY - SALESTAX, PINK - APPLICANT, TAG - FIELD ARD !