HomeMy WebLinkAbout2330 HAMPSHIRE SQ - PERMITS - 9/25/1992DEVELOPMENT SERVICES/BUILDING PERMITS & INSPECTIONS DIVISION
P.O. BOX 580, FORT COLLINS, CO 80522-0580
221-6769
BUILDING PERMIT
'I JOB SITE ADDRESS
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Proposed Use
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Subdivision F-1 PUDn IFiling
Parcel No ACCOUNT FEE DATE PAID
47214-35-030
PAUL MI. BLOB PERMIT FLAT 15.00
av — CITY -SALES -USE -TA-
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FORT COLLINS
Phone No493.
733i _-- --_.-----
Contractor licence Na • --. —._.. _.__ _-- _ .. _ .,. -_ _.
City State
Sales Tax N.
lRelding Saran footage INo. of stones Iulag. mpgnt I TOTAL FEES I t ri - nn
Occupant Load Dccupanw Separation
ry W. of Dwelling Units No. of Bedrooms No. of Bathrooms Fireplace,
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0 Text.
GAS LOG INSTALLATION MAJESTIC 16 INCH
As a conditi tOr the issuance of a permit, 1 hereby declare that 1 am an owner
or the own 's agent, authorized to perform the proposed work on the property
described h rein. 1 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
18SLdays from the date of such permit.
DEPARTMENT I STATUS I DATE
LEFT
No No.
REAR
FRONT
RIGHT
CALL 221-6769
TO SCHEDULE INSPECTIONS
(See reverse side for
Inspection Description)
5SE1192 HH 185
SSEI 192 4q'H 185
PERMIT S15.OI
AM DUE $15.01
HECK $15 A