HomeMy WebLinkAbout604 SKYLINE DR - PERMITS - 11/2/1994DEVELOPMENT SERVICES/ BUILDING PERMITS & INSPECTIONS DIVISION
SITE SETBACKS
P.O. BOX 580, FORT COLLIN$, CO 80522-0580
221-6769
REAR
Cttye MOM BUIWING PERMIT
JOB SITE ADDRESS,
LEFT RIGHT
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Perrnit Type
Work Type Category Type
wProposed
Use
Use Zona Permit Level
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Subdivision PUD
Filing
PERMIT FEES
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Budding Valuation
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FRONT
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Lot
Block
pacel No.
ACCOUNT
FEE
DATE PAID
Last
First
Lot Area
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Address
City
Plat File No.
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State Zip
Phone No.
Off St. Parking
Company Name J
Contractor License No.
REQUIRED INSPECTIONS
address
City
State
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CALL 221-6769
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TO SCHEDULE INSPECTIONS
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Zip Phone SalesTax No.
See reverse side for
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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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W
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
ry
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Text
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Case Na.
BBA Case No.
DEPARTMENTAL
REVIEW
Permit No
Permit Date
DEPARTMENT
STATUS
DATE
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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. 1 agree to comply with all the requirements contained herein,
and City ordinances, and State laws associated with such work.I 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
SigmuLior
Date
ORIGINAL - FILE, BLUE - OFFICE, CANARY - SALESTAX, PINK - APPLICANT, IAG - FIELD CARD