HomeMy WebLinkAbout642 SMITH ST - PERMITS - 1/1/2000Community Planning & Environmental Services BUILDING PERMIT
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Building Permits & Inspections Division
P.O. Box 580
City of Fort Couins
Fort Collins, CO 80522r0580
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221 6769
JOB SITE ADDRESS 642 SMITH St
- 80524
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PERMIT FEES
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Phone484-7777
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Construction Type
Occupancy Group
Fire Sprinkler
Fireplace/Stoves
Building Squrbt Footage
Basement Square Footage
No. of Stories
Building Height
�Occupancy
Load
Occupancy Separation
Area Separation
Fire Containment
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3
No. 0 Dwelling Units
No. of Bedrooms
No. of Bathrooms
Stock PlaYOptions
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WROOF 26 SQUARFS
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TAX BASED ON $936 IN MATERIALS
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OU94915 1FermilD,4fPTEMBFR 28, 1999
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 such permit may be revoked in the event
that issuance -.vas -based cm mcorrec• information; This shall become null and void,f-
the work authorized by such permit is not commenced, suspended, abandoned, or not
inspected within 180 days from the date ooff/ssuuchhppermit. ^/
Signolure C/e/ V — Date
SETBACKS
REAR
LEFT
FRONT
1-Im"
RIGHT
TO SCHEDULE INSPECTIONS
(See reverse side for Inspection Description)
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