HomeMy WebLinkAbout412 SMITH ST - PERMITS - 11/18/1991DEVELOPMENT SERVICES/BUILDING PERMITS & INSPECTIONS DIVISION
SITE SETBACKS
"i P.O. BOX 580, FORT COLLINS, CO E30522-0580
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A 221-6769
REAR
BUILDING PERMIT
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JOB SITE ADDRESS 4 z SMI'H ST
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Contractor Licens9/do
REQUIRED INSPECTIONS
CALL 221-6769
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city + OVELAND
Static
TO SCHEDULE INSPECTIONS
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Phone
sales Tax No.
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(See reverse side for
J ' - `
Inspection Description)
Construction Type
Occupancy Group
Fire Sprinkler
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Building Square Footage
No. of Stories
Bldg. Height
TOTAL FEES
'M
Occupant Load
Occupancy Separation
Area Separation
Fire Containment
0
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No. of Dwelling Units
No. of Bedrooms
Fireplace/Stoves
Basement
Stock Plan
Options
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Text0 I : a .! . . R r.vw vL .+
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ZBA Case No.
BBA Case No.
DEPARTMENTAL
REVIEW
Permit No. q_, jOf
Pern' �M6ER i8 _991
DEPARTMENT
$TATU$ORR DATE, nc
Cr:N
SUB CONTRACTORS
Electrical
Asa ,nnr i Ion or 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
Mechanical
requirements contained herein, and City ordinances, and State laws
associated with such work. I understand that such permit may be
revoked Ri he e t issuance was based on incorrect information.
Plumbing
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Sic��natur
Date
ORIGINAL - FILE, BLUE - OFFICE, CANARY--SALESTAX, PINK - APPLICANT, TAG - FIELD CARD