HomeMy WebLinkAbout823 HILLDALE DR - PERMITS - 11/18/1991DEVELOPMENT SERVICES/BUILDING PERMITS & INSPECTIONS DIVISION SITE SETBACKS
P.O. BOX 580, FORT COLLINS, CO 80522-0580
221-6769 REAR
rtyo n o BUILDING PERMIT
JOB SITE ADDRESS S2 E7
F- Pei ee iype�: Wp 1 e Clarl ..: JYAn ;`AMILY : TACH- LEFT RIGHT
w Prcy"lo$M1Hjgse` _ - , JWEL 7-N_. -- us znpe Pri EtEl_ L a - , T'`JA
Subdivision ET' PUDE FilingPERMIT FEES 4
Q Si'MY'lill `-_ _ Building Valuation
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FRONT
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Last First M.I. PC '"rT IT' i7
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CITY SALES USE TA 2406 25 Plat File No
o _ 80S?' Z STREET OVERSIZING 58l
State I Zip Phone No 1. r 4 ,G I Off St. Parking
SKPEN SEWE 1 r
Company Name Contractor Llcerse No. STORM DRAINAGE 1598.85
o p G:�u B'S' R I_LI'd5 C' ELECTRIC UNDERSRO 355,00REQUIRED INSPECTIONS
Address ny state CALL 221-6769
q; r = "-6-•G CS - NE--NICWN TO SCHEDULE INSPECTIONS
8 Zip Phone Sales Tax No.
U V—v` G-,_ (See reverse side for
Inspection Description)
Construction Type Occupancy Group Fire sprinkler3306
Building Square Footage N fStones Bldg. Height �_'� �(;I (ui1
TOTAL FETES
RP R E RM
¢ Occupant Load Omup.ncy Separaton Area Separation Fre Conta omen[ _p tiP EG
3 - _ -
1 • %�: c r t
No. of Dwelling U its No. of eetlrooms Fl replan;/Stoves Basement Stock Plan Options L N y h I
l Sllill- `t - Gq
o TgUA.ISSONS -=ENSINEERI'S LETTER RECUI-EC
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ZBA Case No. BBA Case No
"Q13[F( Jf1t;EMBER 1S. 3.99'DEPARTMENTAL REVIEW
Permit No. Permit Date
ENC WT s Q ED 13
A,rf si s.1h Electrical
As a condition for the issuance of a permit, I hereby declare that I am `
IitlBty
an owner or the owner's agent, authorized to perform the proposed L uHT & V ER-- PASSED all-1a" EL y =AT,N6 AIR
work on the property described herein. I agree to comply with all the GREET O4ERn1Z=_ PASSI n ++ __
A�, iCHEL.Ia.: SSEL, Mechanical
requirements contained herein, and City ordinances, and State laws --
associated with such work. I understand that such permit may be ` BERSHINS!::Y 3
revoked in the event that issuance was based on incorrect information.
Plumbing
signat a .CCn'!J Data // /f7 / /
ORIGINAL - FILE, BLUE PFFICE. CANARY - SALESTAX, PINK -APPLICANT 1'AG -FIELD CARD