HomeMy WebLinkAbout629 W OAK ST - PERMITS - 9/20/1991DEVELOPMENT SERVICES/BUILDING PERMITS & INSPECTIONS DIVISION SITE SETBACKS
g.G P.O. BOX 580, FORT COLLINS, CO 80522-0580
221-6769 REAR
tom° BUILDING PERMIT
JOB SITE ADDRESS
1 F- Permit Type T
work Type
Category Type
w Proposed Use W LEFT RIGHT
Use Zone
Permit Level
Subdivision PUD Filing
Q Subdivision/PUD PERMIT FEES
0
� Building Valuation
Lot Block 2B5
Parcel No.
GRAHAM
ACCOUNT FRONT
Last Fir ""' st FEE DATE PA D
w Address GLORIA BLOG PERMIT FLAT EArea
cty CITY SALES USE TA 15 �?g91C�92 7State Zip 0.00 910920Phone No.Company Name ng
p Contractor License No.
F
U Address 2-142
2 City State • •INSPECTIONS
FT
Z) Zip Phone CALL 221-6769
v Sales Tax No. TO SCHEDULE INSPECTIONS
Construction Type — (See reverse side for
Occupancy Group Fire Sprinkler Inspection Description)
Building Square Footage
No. of Stories Bldg. Height
>< 3 Occupant Load TOTAL FEESOccupancy Separation FNP
Area Separation
Fire Containment
al No_ of Dwelling Units No. of Bedrooms
ZFireplace/Stoves Basement Stock Plan
O Text: Options
a WATER HEATER REPLACEMENT
BBA Case No. -
.rmrt No.
Permit Date
SEPTEMBER 20 199 DEPARTMENT STATUS DATE
As a condtn f the issuance of a permit, I hereby declare that I aman Electrical
work Owner the owner's agent, authorized to perform the proposed
requirementsperty described herein. I agree to comply with all the
associated w0tained herein, and City ordinances, and State laws Mechanic
revoked in the cch work. I understand that such permit may be
that issuance was based on incorrect information.
Signature
Date Plumping
ORIGINAL - FILE, BLUE - OFFICE, k #
' - SALESTAX, PINK -APPLICANT, TAG - FIELD CARD