HomeMy WebLinkAbout821 MATHEWS ST - PERMITS - 6/17/1993DEVELOPMENT SERVICES/BUILDING PERMITS & INSPECTIONS DIVISION
P.O. BOX 580, FORT COLLINS, CO 80522-0580
221=.6 69
BUILDINERMIT
JOB SITE ADDRESS
H Permit Type
RUTI nTNr
w Proposed Use
Q. _________._
Subdivision U PUD L
Q Subdivision/PUD
J
Lot Block
oe Address
T. 4S GT
State Zp
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Company Name
O
QAddress
s
0
0 Zip Phone
State
'CCCOUNT FEE
PLA,N CHECK FEE 91.33
BLC16 PERMIT WITH ,. A89.69
CITY SALES USE TA 900.00
STORM DRAINAGE 0.00
I
I
TOTAL FEES
Occupant Loatl Occupancy Separation Area Separation Fire containment
0
No. of Dwelling Units No. of Bedrooms I No. of Bathrooms Fireplace/Stoves Basement Stack Ran Options
O
z
O Text:
11 X 23 ADDITION TO EXISTINGG HOME WITH RE -ROOF OVER WHOLE HOUSE
oe
0
k�
vo. Permit Date '. DEPARTMENT
�1 DUNE it 1993
ZONING
As a conditio fort a issuance of a permit, I hereby declare that I am an owner PLAN
N CHECK
or the owne s agent, authorized to perform the proposed work on the property R COLLAR TIE
described erein. I agree to comply with all the requirements contained herein, A COLLAR
and Cit rdinances,andState laws associated with such work. l understand that EC'D• PRELIMINAR
tur.blirermit may be revoked in the event that issuance was based on incorrect 93
information. This permit shall become null and void if the work authorized by I
such permit is not commenced, suspended, abandoned, or not inspected within - {
180 days from the date of such permit.
6 LEFT
Area
SITE SETBACKS
REAR
RIGHT
FRONT
CALL 221-6769
TO SCHEDULE INSPECTIONS
(See reverse side for
Inspection Description)
SBF
GL
RM
FNB
FNM
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STATUS DATE '11jo
PASSED 930617 Electrical
PASSED 930617
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