HomeMy WebLinkAbout4107 CLAYTON CT - PERMITS - 11/30/1992DEVELOPMENT SERVICES/BUILDING PERMITS & INSPECTIONS DIVISION
P.O. BOX 580, FORT COLLINS, CO 80522-0580
221-6769
BUILDING PERMIT
JOB SITE ADDRESS
ti Permit Type tlbrk ypa Category Type
wPropose Use Use Zme Permit Level
a
Subdivision PUD Filing
Q Subdrvislon/PUD Building valuation
ACCOUNT
BLDG PERMIT FLAT
CITY SALES USE TA
Tax
FEE DATE PAID
15.00
0.00
Building Square Footage iNo. of Stories (Bldg. Height I TOTAL FEES I _ _ _ _ I I
2 Occupant Load Ocoupancy Separation Area S
3
p_ No. of Dwelling Units No. of Bedrooms No. of Bathrooms 11 Fireplace/Stores Baser
O
p text
INSTALLATION OF GAS LINE AND "PETERSON" GAS LOG.
a.
ai
DEPARTMENT
As a conditi000rsthe issuance of a permit, 1 hereby declare that 1 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 orrfnances, and State laws associated with such work.I understand that
such permit may be revoked in the event that issuance was based on incorrect
information. This permit shall become null and void if the work authorized by
such permit is not commenced, suspended, abandoned, or not inspected within
180 days from the date of such permit.
SITE
LEFT
REAR
RIGHT
FRONT
Area
He No.
St. Parking
REQUIRED
CALL 221-6769
TO SCHEDULE INSPECTIONS
(See reverse side for j
Inspection Description) j
V
GL LG
I
i (
30NDU 2 AA 466
300V 2 AA 4196 !
ERt9IT $15.00 T
A .00
STATUS ( DATE _
OTC PERMIT ISS Electrical