HomeMy WebLinkAbout416 JEFFERSON ST - PERMITS - 1/9/1990DEVELOPMENT SERVICES/BUILDING PERMITS & INSPECTIONS DIVISION
SITE SETBACKS
P.O. BOX 580, FORT COLLINS, CO 80522-0580
221-6769
4a
REAR
BUILDING PERMIT
LEFT RIGHT
JOB SITE ADDRESS 416 JEFFERSON
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ECRICAL,;
Rbrk Type Category Type
LTERATION'
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RETAIL
ffAYC7.GENERAL
Jac Zone Perwit
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FULL/FINAL
Subdivision PUD
FlfingPERMIT
FEES
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Building Valuation
Subdivision/PDD
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FRONT
J
Lot
Black
Parcel No.
ACCOUNT
FEE
DATE PAID
Last
First
M.I.
Lot Area
SLDG PERMIT NON S
15.90
Addresa
city
Plat Fie Nq.
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CITY SALES USE TA
0.00
State
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Phone NoPn
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2
Compan, Name
Contractor Licenae No.
REQUIRED INSPECTIONS
Q
CALL 221-6769
ress
City
State
TO SCHEDULE INSPECTIONS
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-
(See reverse side for
ip
pncon - las Taa No.
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Inspection Description
CXn's1r"Vr16o Type
Occupancy Group
i e inkier
Building Square Footage
No. of Stories
Bldg. Height
TOTAL FEES
USE
FNE
RE
EG
¢
Occupant Load
Occupancy Separation
Area Separation
Fire Containment
o
No, of Loreto, Umts
Nc of Bedrooms
Fireplace/Stoves
Basement
Stock Plan
Options
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OText
1-
OVERHEAD SERVICE CHANGE FROM._60 TO 100 AMP
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ZBA Case No.
BBA Case No.
Permit Date
DEPARTMENT
STATUS
DATE
Permit No
SUB CONTRACTORS
Eecid aIK'� f a
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'
OTC PERM
T ISS':- r
As a condi ion for the issuance of a permit, I hereby declare that I am
IAN
• 1C 9;
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
Mechanical
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.
Plumbing
Signature v ^
Date Q
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