HomeMy WebLinkAbout4238 STONERIDGE DR - PERMITS - 4/23/1991DEVELOPMENT SERVICES/PUILDING PERMITS & INSPECTIONS DIVISION
SITE SETBACKS
F" ' P.O. BOX 580, FORT COLLINS, CO 80522-0580
221-6769
REAR
BUILpING PERMIT
LEFT RIGHT
JOB SITE ADDRESS J
Permit Type
Work Type Category Type
a
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Proposed Use
Use Zone Permit Level
Subdivision PUD
Filing
PERMIT FEES
Subdivision/PUD
Building Valuation
Q
FRONT
Lot
Block
Percpl No _ _
ACCOUNT
FEE
DATE PAID
Lastr
First
MI.
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Lot Area
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Address _ _
City . _ _.
Plat File No.
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State Zip
Phone No.
Off St. Parking
Company Name
Contractor License No.
I O
FIEGUIRED INSPECTIONS
Address
City
State
FFF
CALL 221-6769
TO SCHEDULE INSPECTIONS
o
(See reverse side for
Zip Phone Sales Tax No
U
Construction Type Occupancy Group Fire Sprinkler
Inspection Description)
Building Square Footage
No. of Stories
Bldg. Height
TOTAL FEES
1_�
x
Occupant Load
Occupancy Separation
Area Separation
Fire Containment
O
No. of Dwelling Units
No. of Bedrooms
Fireplace/Stoves
Basement
Stock Plan
Options
O
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ZBA Case No. BBA Case No.
DEPARTMENTAL REVIEW
Permit No Permtt_Date _ DEPARTMENT STATUS %}A'iE
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 :#
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