HomeMy WebLinkAbout629 SMITH ST - PERMITS - 8/1/1994DEVELOPMENT SERVICES/BUILDING PERMITS & INSPECTIONS DIVISION
SITE SETBACKS
P.O. BOX 580, FORT COLLINS, CO 80522-0580
221-6769
61tv
REAR
jormil
BUILDING PERMIT
LEFT RIGHT
JOB SffE ADDRESS _
Permit Type
work Type
Category Type
w
Proposed U=ie
Use Znne
Permit LeveltL
-
Subdivision PUD
Filing
Q
Subdivision/PUD
Building Valuation
`J
)FEE
FRONT
of
Block
Parcel No.
ACCOUNT
DATE PAID
Last
First
M.I.
Lot Area
Address
City
Plat File No.
jw
_ _
`�- •ice _
_
__—
C
State Zip
Phone No.
Off St. Parking
Company Name
Contractor License No.
-
REQUIRED•
Q
CALL 221-6769
Address
City
State
^"—
TO SCHEDULE INSPECTIONS
Z
o
(See reverse side for
Zip Phone Sales Tax No.
P }
g _ _ y— v .,_
- - -- -Jr
Constructiop Type Occupancy Group Fire Sprinkler
Inspection Description)
Building Square Firotage
No. of Stories
Bldg. Height
TOTAL FEES
Occupant Load
Occupancy Separation
Area Separation
Fire Containment
No. of Dwelling Units
No. of Bedrooms
No. of Bathrooms
Fireplace/Stoves
Basement
Stock Plan
Options
u_
=
-,
C
Z_
_O
.:
....
Tent ___ __ _
U
N
ZBA
Casn No.
BBA Case No.
FINT
Permit No
Permit Date
DEP
STATUS
DATE
•
•RS
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
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 d to of such permit.
Plumbing
Signature ' / /
Date
r �/
ORIGINAL - FILE, BLUE - OFFICE, CANARY - SALESTAX, PINK - APPLICANT. TAG - FIELD CARD