HomeMy WebLinkAbout601 CORNELL AVE - PERMITS - 5/8/1991DEVELOPMENT SERVICES/BUILDING PERMITS & INSPECTIONS DIVISION
SITE SETBACKS
P.O. BOX 580, FORT COLLINS, CO 80522-0580
221-6769
REAR
tvof Tiold: conins BUILDING PERMIT
LEFT RIGHT
JOB SITE ADDRESS
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Permit Type ,.
work Type Category Type.
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Use Zone Permit Level _
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Subdivision ❑' PUD Filing,
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Subdivision/PUD
Building Valuation
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FRONT
Lot
Black
Parcel No.
ACCOUNT
FEE
DATE PAID
Last
First
M.I.
Lot Area -
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Address
City
Plat File No.
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State Zip _
Phone No.
Off St. Parking
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Com�any Name
Contractor License No.
REQUIRED INSPECTIONS
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CALL 221-6769
Address
City _ _ _ _
State
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TO SCHEDULE INSPECTIONS
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(See reverse side for
Zip Phone Sales Tax Nn
-
Construction Type Occupancy Group Fire Sprinkler
Inspection Description)
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_
Building Square Footage
No. of Stories
Bldg. Height
TOTAL FEES
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Occupant Load
Occupancy Separation
Area Separation
Fire Containment
3
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No. of Dwelling Units
No. of Bedrooms
Fireplace/Stoves
Basement
Stock Plan
Options
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Case No.
BBA Case No.
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Permit No - =.'-�
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Perm* Dale -:-
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SUB • •
As a condif n for the issuance of a permit, I hereby declare that I am
an owner r the owner's agent, authorized to perform the proposed
work on the described herein. I agree to comply with all the
Mechanical
property
requirements contained herein, and City ordinances, and State laws
associated with such work. I understand that such permit may be
revoked i he event that issuance was based on incorrect information.
Plumbing
Signatur
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RI AL - , BL E - OFFI ARY - SALESTAX, PINK - APPLICANT, TAG - FIELD CARD