HomeMy WebLinkAbout600 REPUBLIC DR - PERMITS - 1/1/2000>> Community Planning &Environmental Services BUILDING PERMIT
Building Permits & Inspections Division
Box
Cityaf Fort Collins
Fort Coll linsins , CO 80522r0580
221 6769
JOB SITE ADDRESS
F
Permit Type
WAflk WAIF!
Work Type
1.tW
Cate o TYPE
(g.";!r
; Atli r1v 1 IAf"it1;
w
Proposed Use
IiF :i 1.iil N I ! A''
Use Zone
Permit Level
I i)l.l. /i1 N'N
J
Subdivision PUD
Filing
PERMIT FEES
w
J
Subdivision/PUD
Building Valuation
i:1
Lot
Block
Parcel No.
ACCOUNT
FEE
DATE PAID
Last
First
M.I.
Z
lj(S0& ) A
0((0 Yt,3.:w)t�
0.00
990J29
Address
City
l SAL:)' W
0.00
9:022
O
State
Zip
Phone No.
ilnyc Name iw Contractor License No.
J vA, sx Iii AI iI�:A M1'-4
s City
Phone Sales Tax No.
4814 484 1 1Vi0 iV"
Building Squa0 Footage Basement Square Footage No. of Stories Building
!
�Occupancy Load Occupancy Separation Area Separation Fire Co,
O
3 No. of Dwelling Units No. of Bedrooms No. of Bathrooms Stock Planption:
O U
o Ek l!!_A I N' A Ace .1; \l,
a
N
w
O
SETBACKS
REAR
LEFT
FRONT
No.
RIGHT
INSPECTIONSREQUIRED
CALL 221-6769
TO SCHEDULE INSPECTIONS
(See reverse side for Inspection Description)
FT�,
( LI ? - Permit D e - (! v -
• (4_l" i % ( RA{1`% ?. , ,(i,:`!d DEPARTMENT 1 STATUS DATE •ilk I 'oriltak•
tiectrifo
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 hI
I agree to comply with all the requirements contained herein, and City ordinances, and M \Yhy'cal
laws associated with such work. I understand that such permit may be revoked in the that issuance was based on incorrect information. This permit shall becomenull and vPlumbing
the work authorized by such permit is not commenced, suspended, abandoned, or not r`
inspected within 180 days from the date of such permit. - -
Roofing
ylA
Signature Date