HomeMy WebLinkAbout4249 KINGSBURY DR - PERMITS - 12/16/1991DEVELOPMENT SERVICES/BUILDING PERMITS & INSPECTIONS DIVISION
P.O. BOX 580, FORT COLLINS, CO 80522-0580
221-6769
BUILDING PERMIT
JOB SITE ADDRESS 4249 KINGSBURY OR
FAMILY DETACHED
Subdivision PUD u
'
BuiMing Valuatwn 350
SubdNision/Pup
plot
Block
Parcel No.
87313-15-015
ACCOUNT
FEE
DATE PAID
Lieu
AULKNER
rst KURT
M.I.
BLDG PERMIT FLAT
CITY SALES USE TA
15.00
-0.00
911216
911216
4249 KINGSBURY DR
c"' FT COLLINS
State
CO
Zp
80525
Phone No
221-5050
Company Name
WHITE WATER PLUMBING
Contractor License Nu
MP-92
Address
1917 MCCALLISTER
City
FT COLLINS
State
CO
Zip
80521
Phone
221-0905
Sales Tax Ne.
1 22427
Construction Type
Occupancy Group
fire Spimklio
Building Square Footage
No. of Stories
Bldg. Height
TOTAL FEES
15.00
Occupent Load
Occupancy Separation
Area Separation
Fire Containment
N. of Dwelling Units
No. of Bedrooms
I No. of Bathrooms
Fireplace/Stoves
Basement
Stock Plan
Opti.
Text
VALOR GAS LOG SET AND PIPING INSTALLATION
M
0913573 DECEMBER 16, 1491
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 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.
Signature jDate
DEPARTMENT STATUS DATE
LEFT
SITE SETBACKS
REAR
FRONT
RIGHT
Area
F'de Na.
St Parking
CALL 221-6769
TO SCHEDULE INSPECTIONS
(See reverse side for
Inspection Description)
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