HomeMy WebLinkAbout913 E PROSPECT RD - PERMITS - 10/14/199200, DEVELOPMENT SERVICES/BUILDING PERMITS & INSPECTIONS DIVISION SITE SETBACKS
P.O. BOX 580, FORT COLLINS, CO 80522-0580
22 � -6769 REAR
Civ Of BUILDING PERMIT
JOB SITE ADDRESS
H Permit Type Type Category Type LEFT RIGHT
w Propns Us Permit I
a
Subdivision PUD FilingPERMIT FEES
J
Q Subdivision/PUD Building valuation
J FRONT
Lot Block Parcel No.
o e .� . �DATG t?i1Li::i.
Last First M.I. yl#'; Lot Area
w Address City ....° w , qr�k4. Plat File No..
�� x,r ear
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O State Zip Phone No. Off St. Parking
¢ C Name Contractor - ense o. �.;g!'#�"�"
omperry r [ pica.-�. r'_
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RECIUIRED INSPECTIONS
9149 VALLEY AIR
ress city 9-035 State CALL 221-6769
TO SCHEDULE INSPECTIONS
ZO Zip Phone s Tax No. r..;i, �, ' s fi +.
ta :, e „ , (See reverse side for
4 Inspection Description)
Const ucbon ype 7 w w Occupancy Group RWrnkler
BuildingSquare Footage No. of Stories Bldg. Hei ht
Idg g ,,. r,�U`.7U7A1.,Dys
Y Occupant Load Occupancy Separation Area Separation Fire Contamment PL LG
43¢
LL No. of Dwelling Units No. of Bedrooms No. of Bathrooms Fireplace/Stoves Basement Stock Plan Options r
O Text: 2 AA 96
a GAS LOG INSTALLATION IT �15.00NT
¢
0 pff KE *15.00
C ECK $15.00
ZBA Case No. BBA Case No. ,
Permit No. Permit Date SUB CONTRACTORS
't
Z y§
As a condition for the issuance of a permit, 1 hereby declare that I am an owner
OTC PE MIT ISS Eleari7l
or the owner's agent, authorized to perform the proposed work on the property „fir» irTr f
described herein. 1 agree to comply with all the requirements contained herein
fit? °
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 � � � � y f '44'
180 days from the date of such permit. Plumbing
Signature Date
hFI.... neiv J.q
ORIGINAL - FILE, BLUE - OFFICE, CANARY - SALESTAX, PINK - APPLICANT, TAG - FIELD CARD