HomeMy WebLinkAbout4240 BREAKWATER CT - PERMITS - 2/11/1992DEVELOPMENT SERVICES/BUILDING PERMITS & INSPECTIONS DIVISION
P.O. BOX 580, FORT COLLINS, CO 80522-0580
221-6769
BUILDING PERMIT
SITE ADDRESS
Subdivision
Address
No. of
Type
SINGLE FAMILY
O
t
PUD
icy Separation
of Bathrooms
License No.
Tax No,
Separation
As a condition 4the issuance of a permit, I hereby declare that I am an owner
or the owner'l agent, authorized to perform the proposed work on the property
described herein. 1 agree to comply with all the requirements contained herein,
and 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
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.
e Data -al It / 9
1
SLEFT
ACCOUNT
FEE
DATE PAID
_CHECK_FEE_._______—Z2._00
PERMIT WITH
LAND--FEE----------625.00----
SALES USE TA
ET_O.VERSIZING-____.584.00.__
R P I F
523.80
1163.2S
2464.00
__920,2olf
---
_
Lot Are:
PiatFile
offs"
SITE SETBAC
REAR
21
26
FRONT
RhHT
STORM DRAINAGE 0. 00 CALL 221-6769
ELECTRIC _UNDERGRO. _____329.._00. _ _ TO SCHEDULE INSPECTIONS
WATER RIGHT 1200.71 (See reverse side for
___ _-_.--__ —__ ____ Inspection Description)
TOTAL FEES
SBF
WTR
FO
SWR
UGP
GL
Fire Containment
RP
FR
RE
FP
RM
EG
Stock Plan
Options
FNB
FNM
FNE
SPI
FNP
DEPARTMENT I STATUS I DATE
WATER 8 SEWER
PASSED
92020
__LIBHT_6-POWER _ __
— _PASSED
._92020
Mechanic
STREET OVERSIZE
PASSED
92021C
_P_LAN_CHECY-_._____L_
-`PASSED___920211
Plumbing
62