HomeMy WebLinkAbout412 E DRAKE RD - PERMITS - 6/11/1991DEVELOPMENT SERVICES/BUILDING PERMITS & INSPECTIONS DIVISION
SITE SETBACKS
P.O. BOX 580, FORT COLLINS, CO 80522-0580
221-6769
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itv of fliert o BUILDING PERMIT
LEFT RIGHT
JOB SITE ADDRESS
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Permit Type
Work Type Category Type
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Propgsgd Use,
Use Zone Permit Level
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ionEl PUD FilingPERMIT
FEES
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Subdivision/PUD
Building Valuation
FRONT
Lot
Block
Parcel No.
ACCOUNT
FEE
DATE PAID
Law.:., ,.
First _ _ _
M.I.
Lot Area
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Address
City _ _
V _ _
Plat File No.
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State
Zip
Phone No.
Off St. Parking
Company Name
Contractor License No.
_
REQUIRED INSPECTIONS
4
CALL 221-6769
Address --
City _ _,
State .
J
y
TO SCHEDULE INSPECTIONS
Zip
phone _ _
Sales Tax No
Z
o
(See reverse side for
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Inspection Description)
Construction Type
Occupancy Group
Fire Sprinkler
y
Building Square Footage
No. of Stories
Bldg. Height
TOTAL FEE5...
Occupant Load Occupancy Separation Area Separation Fire Containment
3
No. Dwelling Units No. Bedrooms Fireplace/Stoves
u_
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of of Basement Stock Plan Options
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Text
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ZBA Case No.
BBA Case No.
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Permit No .. -
4_ .
Permit Dale_
_ _ ; _ :: _ '' `_
DEPARTMENT
STATUS
DATECONTRACTORS
-' - -
—
Electrical
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 the
requirements contained herein, and City ordinances, and State laws
Mechanical
associated with such work. I understand that such permit may be
revoked in the even that iss nce was based on incorrect information.
Plumbing
v
Signature
Date
ORIG - FIL , L E - OFF - SALESTAX, PINK - APPLICANT. TAG - FIEL R