HomeMy WebLinkAbout4318 SHADOWBROOKE CT - PERMITS - 10/26/1993DEVELOPMENT SERVICES/BUILDING PERMITS & INSPECTIONS DIVISION
SITE SETBACKS
P.O. BOX 580, FORT COLLINS, CO 80522-0580
221-6769
6a
REAR
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city BUILDING PERMIT
JOB SITE ADDRESS 4318 SHADOWBROOKE CT
LEFT RIGHT
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ACCOUNT
FEE
DATE PAID
Lat)AVIS
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Lot Area
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CITY SALES USE TA
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City FORT ICOLLINS
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State Zip
CO 8OS26
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Phone Nag
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REQUIRED INSPECTIONS
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City
FT C:OL LINS
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CALL 221-6769
TO SCHEDULE INSPECTIONS
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(See reverse side for
zip 8j7525 Prone 226_3619 Sales TaxA1 077
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Construction Typo Occupancy Group Fire Sprinkler
Inspection Description)
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Building Square Footage
No. of Stories
Bldg. Height
TOTAL FEES
15.00
Occupant Load Occupancy Separation
Area Separation
Fire Containment
No of Dwelling Units
No. of Bedrooms No. of Bathrooms
Fireplace/Stoves
Basement
Stock Plan
Options
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Case No,
BBA Case No.
Permit No i.)933019
Perm-0 R 26. 1993
DEPARTMENT
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•
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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 requirements contained herein,
and City ordinances, and State laws associated with such work. I understand that
Mechanical
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.
Plumbing
Slgnature
Date
ORIGINAL - FILE, BLUE - OFFICE, CANARY - SALESTAX, PINK - APPLICANT, TAG - FIELD CARD