HomeMy WebLinkAbout624 E ELIZABETH ST - PERMITS - 11/27/1995SETBACKS
Community Planning & Environmental Services
BUIR
DING PERMIT
Building Permits & Inspections Division
Building
P.O. Box 580 22 -6769
City of Fort Collins Fort Collins, CO 80522-0580
LEFT RIGHT
FRONT
JOB SITE ADDRESS 624 E ELIZABETH ST
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subdivision/PUD
Building Voluation 1 789
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Aj�22r E ELIZABETH ST
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Zip 80524
phone N$.84-1163
o8 St. Parking
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Company Name
Contractor Li.. No.
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Address
city
state
CALL 221-6769
TO SCHEDULE INSPECTIONS
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(See reverse side for Inspection Description)
Zip
Phone
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Con;f Mi.n Type
omupunc, Group
Fire Sprinkler
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LG
Budding Square Footage
No. of stories
Bldg. Height
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Oxuponcy Separation
Areo Separotian
Fire Containment
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N. of Dvrolling Unih
No. of Bedrooms
I No. of Bo hnooms
FireploWStoves
Bosement
Stock Plan
Options
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TR'NSTALLATION OF GAS INSERT JOTUL 83
TAX PAID @ RETAILERS.
ZBe Case N. j Al I BBA Case No.
1114 Wil 14 VA t4l 01 kk
0953748
`°nnMMEMBER 27, 1995
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a DATE
•
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OTC PERM
T ISS
'IOWA
As a condition for the issuan oa p f ermi4n l hereby declare that I am aowner or the
owner's agent, authorize 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
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. inspected within 180 days from the date of such permit. 1.
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