HomeMy WebLinkAbout4238 STONERIDGE DR - PERMITS - 5/15/1991DEVELOPMENT SERVICES/BUILDING PERMITS & INSPECTIONS DIVISION
SITE SETBACKS
P.O. BOX 580, FORT COLLINS, CO 80522-0580
221-6769
REAR
ity Ot IVA LOUMS BUILDING PERMIT
LEFT RIGHT
JOB SITE ADDRESS
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Subdivision PUD
Filing
PERMIT FEES
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Building Valuation
Subdivision/PUD
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ACCOUNT
FEE
DATE PAID
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Company Name
Phone No.
Contractor License No.
Off St. Parking
OREQUIRED
INSPECTIONS
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CALL 221-6769
Address
City
state
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TO SCHEDULE INSPECTIONS
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Zip Phone Sales Tax No.
(See reverse side for
Construction Type Occupancy Group Fire Sprinkler
Inspection Description)
Building Square Footage
No. of Stories
Bldg. Height
TOTAL FEES^
Occupant Load
Occupancy Separation
Area Separation
Fire Containment
3
No. of Dwelling Units
No. of Bedrooms
Fireplace/Stoves
Basement
Stock Plan
Options
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Case No.
BBA Case No.
Permit No. 1 J',. !,
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DEPARTMENT
STATUS
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Electrical
As a condition for 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 in the event that issuance was based on incorrect information.
Plumbing
Signature
Date
UHIGINAL - FILL, BLUE - OFFICE, CANAMY - SALESIAX, FINK - APPLICAN I, IAG - FIELD CARD