HomeMy WebLinkAbout600 S WASHINGTON AVE - PERMITS - 6/1/1992DEVELOPMENT SERVICES/BUILDING PERMITS ,& INSPECTIONS DIVISION
SITE SETBACKS
P.O. BOX 580, WORT COLLINS, CO 00522-0580
221-6769
6&
REAR
d, BUILpING PERMIT
_
JOB SITE ADDRESS -
_
-
LEFT RIGHT
r
Permit Type
Nark Type Category Type
w
Proposed Use
Use Zone Permit Level
a
-
-
Subdivision PUD FilingPERMIT
FEES
Q
Subdivisiori
Building Varuation
aa
- _
w
FRONT
Lot
abck
ParcelNo.
- -
-
Last
First
M.I.
Lot Area
aa ¢
_ _
itv !(f. s, i+ !}
..:r.« .»" ........,.,..._.. «
E
m ... . ✓.:iiai
.. .:.
Address _
Cry
Plat File No.
O
State Zip
Phone No.
Off St Parking
_
mac—
Company Name
c_--
Contractor Lief se No.
.
¢
REQUIRED
CALL 221-6769
Address
City
state_ _
TO SCHEDULE INSPECTIONS
o
(See reverse side for
Zip _ Phone sales Tax No.,
- - - - - - -
ConNucfron Type Occupancy Group Fire Sprinkler
Inspection Description)
Building Square Footage
No. of Stories
BMg. Heght
- -+
IMAL FEES
¢
Occupant Load
Occupancy Separation
Area Separation
he Containment
O
No. of Dwelling Units
No. of Bedrooms
No. of Bathrooms
Fireplace/Stoves
Basemen
Stock Plan
Option.
p_
O
Z
O
Text.
N
ao
1
*A 713
1
AAT
13
I
fiS.
ZBA Case No.
BBA Case No.
«ss
DEPARTMENTAL
f15.00
Permit No.
Permit Dale
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
mnm
described herein. I agree to comply with all the requirements co�aed herein,
..
and City ordinances, and State laws associated with such work.) 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
Signature
Date
ORIGINAL - FILE, BLUE - OFFICE, CANARY - SALESTAX, PINK - APPLICANT. TAG - FIELD CARD