HomeMy WebLinkAbout4616 S SHIELDS ST - PERMITS - 3/26/1966Community Planning & Environmental Services
Building Permits & Inspections Division BUILDING PERMIT
P.O. Box 580
city°tF 1 Fort Collins, CO 80522-0580 221-6769
JOB SITE ADDRESS
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TYPE
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w Proposed Use01- Usa Zone
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Subdivision I tI /I f N1,
J PUD ❑ Filing PERMIT FEES
Q Subdivision/PUD
W Building Valuation
Lot Block IParcel No.
ale
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Address
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City
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State Zip
Phone No.
Company Name
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Contractor License No.
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1401i
Address
City,
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I�100 N MONW)[
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Phone Soles Tax No.
6(i !-6 / i
777
ccupanqGroup Fire 7Spritnkler Fireplace/Sootage Basement S1.quare Footage No. 8„il,li�,. w.
LEFT
SETBACKS
REAR
FRONT
RIGHT
Lot Area
Lkl: ' [ A . yj . v��!� i Plot File No.
SALES FAX 4 .'1y h 990326
Off St. Parking
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ate
GO CALL 221-6769
TO SCHEDULE INSPECTIONS
(See reverse side for Inspection Description(
� Occupancy Load Occupancy Separation Area Separation
P Fire Containment
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3
No. of Dwelling Units No. of Bedrooms No. of Bathrooms Stock Plan/Options
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TOTAL F
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Permit DolA11
DEPARTMENT STATUS DATE
t:,i AN {1i i( (.it r r i r �,,Electrical
As a condition for the issuance of a permit, I hereby declare that I am an owner or the i A; . ,I ! ), l G7; , t , r N /A
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 Mechani
laws associated with such work. I understand that such permit may be revoked in the event N ' A
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 Plumbin4
inspected within 180 days from the date of such permit. N./ A
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Signature Dote �,_.�(,clh 1 N/A
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