HomeMy WebLinkAbout921 HAZEL CT - PERMITS - 4/6/1992DEVELOPMENT SERVICES/BUILDING PERMITS & INSPECTIONS DIVISION
SITE SETBACKS
P.O. BOX 580, FORT COLLINS, CO 80522-0580
221-6769
REAR
ty BUILDING PERMIT
54
JOB SITE ADDRESS -
20,EFT RIGHT
F
Permit Type IA6dt
ype Category Type
n
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w
a
Proposed Dse Use
a Permit Lever
Subdivision ❑ PUD
FilingPERMIT
FEES
Q
Building Valuation
26
Suhdiveicn/PUD
FRONT
J
LotGLAREND9N HILLS
Bbd`
Parcel No.
ACCOUNT
FEE
DATE PAID
Last
r
firs[
M.I.
lot Area
w
_
i V.,J
-Plat
ress
City
File No.
2
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S
7�p
Phme No.
Off St Parking
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_ _ _ _
Compaw Name
Conn for icense o.
• • INSPECTIONS
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CALL 221-6769
Address
city
state
_ _
TO SCHEDULE INSPECTIONS
ZO
(See reverse side for
Zip
Phone
Sal. Tau No.
Inspection Description)
SBF FD UGP
WTR SWR GL
RP RE RM
Con trucdon Type
Occupancy Group
Fire Sarni
Building Square Footage
Na. A stories
Bldg. Height
TOTAL FEES
>m
o
Occupant Load
Occupanw sagaation
Area Separation
File Conta�niuene
FIR FP EG
FNB FINE FNP
3
O
No. of Dwelling Units
No. of Bedrooms
No. of Bathrooms
fireplace/Stoves
Basement
Stock Plan
Options
FNM SP I
a
Te.,:
a NEW SINGLE FAMILY
U
La
O
BBA Case No. •
ZBA Case NZinances,
Permit NO.Permit Date DEPARTMENT STATUS DATE
• ' • •
ElectricalAs
he issuance of a permit, I hereby declare that I am an owner
-
A d M ELECTRIC, iNC.
or ent, authorized to perform the proposed work on the property
_
_ _
7deI
agree to comply with all the requirements contained herein,ans,
Mechanical
and State laws associated with such work. I understand that
-
such permit may b revoke in the event that issuance was based on incorrect
-_
a�,-
KAHAR PLUMBING HEATING
information. This rmit sh I become null and void if the work authorized by
E - wy'_ __
`
�r�SSED
such permit is not c mence , suspended, abandoned, or not inspected within
a -=
�-
.ztiQF C_
_
92.
Plumbing
180 days from the a of suc permit."_
-'
Signature
ORIGINAL - FILE, BLUE - OFFICE, CAVARY 1SACESTAX, PINK - APPLICANT. TAG - FIELD CAR