HomeMy WebLinkAbout421 SMITH ST - PERMITS - 8/19/1996Community Planning & Environmental Services WILDING PERMIT
Building Permits & Inspections Division
P.O. Box 580 S
1'- '�- It 221-6769
Cityof Fig Fort Collins, CO 80522-0580
JOB SITE ADDRESS
F Permit Type ork Type
i;UILPIN( Al TEPArION
Proposed Use Use Zone,
Subdivision 0 PUD Filing
J
Q Subdivision/PUD
W
Lot Block Parcel No.
W
Z
Address
City
3
H,.)
it'll i, nP'--I I
I F0
0
State
Zap
More No.
Address
Zip
Building Square Footage Basement Square Footage No. of Stories
K Occupancy Load Occupancy Separation Area Separation
0
3 No. of Dwelling Units No. of Bedrooms No. of Bathrooms
u. ,
0 Te.t r
o -NfNWEl- K I i CNEN AM) BAI!;ROxrt
U
V
u7
W
T
Leal
i;!t
ACCOUNT I FEE DATE PAID
F)l AN GlIEuX. i tE 0.00
BUG PFRMIT WITH 51.98
CITYSALESUSE Ik 0.00
CrIoN i Y iinl E:> TAX 0. 00
Sr jKS
REAR
FRONT
RIGHT
TO SCHEDULE INSPECTIONS
Tax No- (See reverse side for Inspection Description)
TOTAL FEES -
UGP GL hP
tlE RM F F(
FPEG r Nts
I?dE ITJP ENM
:SPI IN
� / Permn Oate
• 6 ti.")1 AU(al :iI i':1r 1996 DEPARTMENT STATUS` DATE SUB CONTRACTORS
Electrical
As a condition for the issuance of a permit, I hereby declare that I am an owner or the ZON i N3 P A SSc D (1H i 4 N/A
owner's agent, authorized to perform the proposed work on the property described herein. 1'L J'A GiE CK PAS: C D J6o6 i 49
Mechan
ical[agree to comply with all the requirements contained herein, and City ordinances, and State N/A
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 Plumbing
the work authorized by such permit is not commenced, suspended, abandoned, or not N/A
inspected within 180 days from the date of such permit.
7 I I N/A
p
Signature "Y,�IiPI� �j, , /¢)���� Dab 0,q • / / - uf(a