HomeMy WebLinkAbout927 E PROSPECT RD - PERMITS - 11/23/1992JOB SITE ADDRESS
F„ Permit Type
Aq I arimAs I IGHTFR
Proposed Use
Subdivision PUD
Q Subdivision/PUD
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=NT SERVICES/BUILDING PERMITS & INSPECTIONS DIVISION
P.O. BOX 580, FORT COLLINS, CO 80522-0580
221-6769
BUILDING PERMIT
Use Zone
Filing
Parcel No.
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ZAddress
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Cit
3977
F PR(1FPFrT RD
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State
Zip
Phone No.
Company Name
Contractor
WRITE LIATER PI IIMRINF
Address
City
F
T
Zip
Phone
U
1
1_ —
Constructlon Type
Oa
Building Square Footage
No.
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Occupant Load Occupancy -Separation
ty
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No. of Dwelling Units No. of Bedrooms No: of Bathrooms Fire
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Text
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GAS PIPE AND LOG SET INSTALLATION
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y
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sales Tax
Group
Building
Bldg. Height Y!
Area Separation Fire Container
Basemen[ I Stock Plan
As a condition Wthe issuance of a permit, 1 hereby declare that 1 am an owner
or the owns 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 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.
Signature I Date
ORIGINAL - FILE. BLUE - OFFICE. CANARY - SALESTAX PINK - APPLICANT, TAG - FIELD CARD
T
SITE SETBACKS
REAR
LEFT RIGHT
FRONT
Area
CALL 221-6769
TO SC"EDULE INSPECTIONS
(See reverse side for
Inspection Description)
"- C G
IT ISS
AA 4437
AA 4437
NIT 15.00H
15.00
xC $15.00,