HomeMy WebLinkAbout431 W SWALLOW RD - PERMITS - 5/6/1991DEVELOPMENT SERVICES/BUILDING PERMITS & INSPECTIONS DIVISION
P.O. BOX 580, FORT COLLINS, CO 80522-0580
221-6769
BUILDING PERMIT
JOB SITE ADDRESS =- --
F- Pe[ffut Typa ' .. Work Type_ ,. .r • Category: Type .
dPropesed Usrf _ _ Use Zone Pemmt Level -
Subdivision PUD n Filing
PERMIT FEES
Q Subdivision/PUD
[7
w
Lot Block
Last
First -
M.I.
A51 rgss7
City
3
O
State- .,i
Zip
Phone No.
-` j
H
Company Name - _
Contractor LzwW 1k/.
Q
Ap esg i r - !
City , 7 - - y it Z
Stat!i-
`
0 Z
Zip t
Phone r ;a t
Sales Tax No: _`
Construction Type
Occupancy Group
Fire Sprinkler
Building Square Footage
No. of Stories
Bldg. Height
¢
Occupant Load Occupancy Separation
Area Separation
O
3
No. of Dwelling Units No. of Bedrooms Fireplace/Stoves
Basement
O
O
F
a
U
N
O
ZBA Case No. BBA Case No.
Permit No i _t _ - - PermR,Qate
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
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.
Signature Date
ORIGINAL - FILE_ BLUE - OFFICE_ CANARY - SALESTAX. PINK - APPLICANT. TAG - FIELD CARD
x
LEFT
rang vaivanon
ACCOUNT FEE -DATE PAID
Lot Area
Plat File No.
Off St. Parking
SITE SETBACKS
REAR
FRONT
RIGHT
CALL 221-6769
TO SCHEDULE INSPECTIONS
(See reverse side for
Inspection Description)
TOTAL FEES 3.. 0
Fire Containment
Stock Plan Options
� �•� � n nn +mot.. _,
DEPARTMENT SWs �� m:
Electrical
Mechanical
Plumbing