HomeMy WebLinkAbout417 N ROOSEVELT AVE - PERMITS - 1/11/1994DEVELOPMENT SERVICES/BUILDING PERMITS & INSPECTIONS DIVISION
P.O. BOX 580, FORT COLLINS, CO 80522-0580
221-6769
_ City of Collins, BUILDING PERMIT
JOB SITE ADDRESS 417 N ROOSEVELT AVE
Perch n HEATER `NE'llove Cate frlry6y 1e Family Detached
a PoR"YDENTIIAALL use Zone Ferry LiteLL/FINAL
Subdivision PUD Filing
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Subdivision/PUD
Building Valuation 21 7
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Lot
Block
Parcel No.
ACCOUNT
FEE
DATE PAID
LaRODRIGUE%
Firat MANUEL
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BLDG PERMIT FLAT
15.00
z
Adi% N ROOSEVELT AVE
city FORT COLLINS
13
Stater
zip 80521
PhnneN2212667
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°AtLYtff,ePLUMBING & HEATING
ContractorLicIVU�14
0
Ad�rgs S. LINK LN.
city FT COLLINS
Star
a
3
z" 80524
Phone 484-4841
Sales To
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Construction Type
Occupancy Group
Fire Sprinkler
Building Squaro Footage
No. of Stories
Bldg Height
TOTAL FEES
15.00
Occupant Load
Occupancy Separation
Area Separation
Fire Containment
O
w
No. of Dwelling Units
No. of Bedrooms
No. of Bathrooms
Fireplace/Stoves
Basement
Stack Plan
Options
O
0
Te1VATER HEATER REPLACEMENT
a
U
N
w
O
No.
Case
a
As a condition for ths'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. 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.
Signature I Date
DEPARTMENT
SITE SETBACKS
REAR
LEFT
FRONT
Lot Area
Plat File No.
Off St. Parking
RIGHT
CALL 221-6769
TO SCHEDULE INSPECTIONS
(See reverse side for
Inspection Description)
FNP