HomeMy WebLinkAbout604 MONTE VISTA AVE - PERMITS - 7/6/1994DEVELOPMENT SERVICES/BUILDING PERMITS & INSPECTIONS DIVISION
SITE SETBACKS
P.O. BOX 580, FORT COLLINS, CO 80522-0580
221-6769
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City of BUILDING PERMIT
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Permit Type
Work Type Category Type
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Proposed Use
Use Zone Permit Level`
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SubdivisionEl PUD
Filing
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Subdivision/PUD
Building Valuation
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Lot
Block
Parcel No.
ACCOUNT
FEE
DATE PAID"
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First
M.I.
Lot Area
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Address
City
CITY SALES USE TA
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Plat File No.
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State Zip
Phone No.
Off St. Parking
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Company Name
Contractor License No.
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REQUIRED INSPECTIONS
Address
City
State
CALL 221-6769
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TO SCHEDULE INSPECTIONS
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(See reverse side for
Zip Phone Sales Tax No.
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Construction Type Occupancy Group Fire Sprinkler
Inspection Description)
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Building Square Footage
No. of Stories
Bldg. Height
TOTAL FEES -
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Occupant Load
Occupancy Separation
Area Separation -
Fire Containment
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No. of Dwelling Units
No. of Bedrooms
No. of Bathrooms
Fireplace/Stoves
Basement
Stock Plan
Options
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Text:
REPLACE WATER HEATER
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Case No.
BBA Case No.
Permit No.
0942051
Permit Date
.1111 y A. 1994
DEPARTMENT
STATUS
DATE
•
•
OTC PERMIT
ISS
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
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Mechanical
such permit may be revoked in the event that issuance was based on incorrect
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informat�lon. �ermit4soLbecome null and void if the work authorized by
such �er•- t is not CWVenced', suspended, abandoned, or not inspected within
180 days from Lhe date of�ucfi permit.
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Plumbing
SignatuCc - - - - - - - - - _ - _ _ .
Date
ORIGINAL - FILE, BLUE - OFFICE, CANARY - SALESTAX, PINK - APPLICANT, TAG - FIELD CARD