HomeMy WebLinkAbout4700 REGENCY DR - PERMITS - 7/18/1991y. DEVELOPMENT SERVICES/BUILDING PERMITS & INSPECTIONS DIVISION
SITE SETBACKS'
P.O. BOX 580, FORT COLLINS, CO 80522-0580
221-6769
Myo
REAR
BUILDING PERMIT
LEFT RIGHT
JOB SITE ADDRESS
Permit Type 41 OC
VdorIRL£ENCV LE Category Type
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P`PfL�G.`i�ilNICA}'L RAI10N Per T1�YBLE FAMILY DETACHEDR`SU[liVii PUD Filing
FEWAIT FEES
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Subdivision/PUD Building Valuation
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FRONT
J
Lot
Block
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EIC?
ACCOUNT
1
162AEE
DATE PAID
Last
First
6Q-10-5(}�'�
Lot Area
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BLDG PERMIT FLAT
15.00
A?RMENBOOM GARY
City
Plat File No.
CITY SALES USE TA
0.00
St{{700
2iP REGENCY DR
Phone No FT COLLINS
Off St. Parking '
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ContName 80521
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REQUIRED INSPECTIONS
QAddress
City
State'
CALL 221-6769
Z
TO SCHEDULE INSPECTIONS
Zip
phone
Sales Tax No.
O
(See reverse side for
�
Inspection Description)
FNM
Construction Type
Occupancy Group
Fire Sprinkler
Building Square Footage
No. of Stories
Bldg. Height
TOTAL FEES
Occupant Load
OccupancySeparation
Area Separation
Fire Containment 11..5 00
"'
LLNo.
of Dwelling Units
No. of Bedrooms
Fireplace/Stoves
Basement
Stock Plan
Options
_.
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Text:
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ADD ON AIR CONDITIONER - FOOTHILLS SERVICE
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ZBA Case No.
BBA'Case No.
Permit No.
Permit Date
DEPARTMENT
STATUS
DATE
• .
, •
0911919, JULY 18,1 1991
Electrical
As a condiV for the issuance of a permit, I hereby declare that I am
C?TC PER
TT TS"a
an Owner o 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 vent th issuance was based on incorrect information.
Plumbing
Signature
r
Date
7-->,g
ORIGINAL - FILE, BLUE ---OFFICE, CANARY - SALESTAX, PINK' - APPLICANT, TAG - FIELD CARD