HomeMy WebLinkAbout416 SYCAMORE ST - PERMITS - 10/9/2006I
Community Planning &Environmental Services BUILDING PERMIT
PERMIT FEES
Building & Inspections Division
P.O. Box 580 281 N. College Ave.
Building Valuation
Fort Collins, CO 80522-0580
CityofF phone (970) 221-6760 Fax (970) 224-6134 �����r�i�?
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ACCOUNT
FEE
DATE PAID
JOB
SITE ADDRESS
PERMIT DATE
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Building Permit w/o Sub
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PERMIT
TYPE
PERMIT LEVEL
CATEGORY TYPE
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Last Name, First, fiddle nitial
ConsTruction Type
Occupancy Group
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Atltlre
City/State
�p No. of Stories
Building Height
FORT COLLINS,O
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Zip 416 SYCAMORE Phone
No.
Building Square Footage
Stock Plan/Options
Front 1 ac Rear
Setback
REQUIREb INSPECTIONS
Right Side Setback Left Side Setback
Z
• • •
Z
TO SCHEDULE INSPECTIONS
01
Plat File No. ZBA Case Number Zoning District
Subdivision/PUD Filing
(See reverse side for Inspection Description)
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wLot
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Block Lot Area Parcel No.
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Name Contractor License P o.
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OCompany
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Add res,cvn l vv u 11 v 1 1 u u f l City/State
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Phone c ' " v "'-' ' Supervisor Cert. No. COLLINS,FORT
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Electrical' License No.
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Mechanical
License No.
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Roofin 1 COLLINS1 u AfP,
License No. H v 09
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Framing
License No.
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Plumbing -
License No.
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Concrete
License No.
INSTALL UNIT HEATER IN GARAGE
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 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 or incomplete information. This permit shall become null and void if the work authorized by such permit is not
commenced,
suspended, abandoned or inspected within 180 days from the date of such permit or from the date of the last inspection.
name of owner/agent Signature Date
I TOTAL FEES
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