HomeMy WebLinkAbout925 COLUMBIA RD - PERMITS - 8/31/1992DEVELOPMENT SERVICES/BUILDING PERMITS & INSPECTIONS DIVISION
SITE SETBACKS
P.O. BOX 580, FORT COLLINS, CO 80522 0580
I 221-6761-6769
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REAR
tvn a BUILDING PERMIT
LEFT RIGHT
JOB SITE ADDRESS
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Permit Type
Nbrk Type Category Type
WATER HEATER
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Proposed Use
Use Zone Permit Level
a
FOURTEEN
Subdivision PUD
Filing
Q
Building Valuation
Subdivision/PUD
w
w
368
FRONT '
-
J
Lot
Block
Parcel No.
ACCOUNT
FEE
DATE PAID
Last
Frost
M.I.
Lot Area
SMITH
MARTIN
BLDG PERMIT__ FLAT
w
Address
City
_—CITY SALES USE -TA
___15.00__J__
9.00
OVERBIL
T
:1:15013
State
Zip
Phone No.
Company Name
Contractor License No
REQUIRED INSPECTIONS
O
Address
City
State
Q
CALL 221-6769
F
101 S. LINK LN.
FT COLLINS
CO
TO SCHEDULE INSPECTIONS
ZO
_ _ _
_ _ __
__ _ __
(See reverse side for
zip
Phone
Sales Tax No.
u
__ _ _ -
_ _ _,
Inspection Description)
_ _ `_ _ _ _ ____
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FNP
Consnudlon Type
Occupancy Group
Fins Sprinkler
B rrlding Square Footage
No. of Stories
Bldg. Height
TOTAL FEES
15.00
Occupant Load Occupancy Separation
Area Separation
Fire Containment
O
31AUG92 HH 2 7
3
No. of Dwelling Units
No. of Bedrooms
No. of Bathrooms
Rmplace/Stoves
Basement
Stock Plan
Options
31
'ex
PERMIT $15.0
a
UfUI
WI
AN E $15.00
CIECK $15.00
ZBA Case No.
BBA Case No.
Permit Date
DEPARTMENTAL
DEPARTMENT
STATUS
DATE
Peroul No.
SUB CONTRACTORS
0922277
AUGUST 31 1992
OTC PERMIT
I55
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,
__ _
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_ _ _
7hap,.al
and City ordinances, and State laws associated with such work.I understand that
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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
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such permit is not commenced, suspended, abandoned, or not inspected within
180 days from the date of such permit.
Plumbing
signature
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