HomeMy WebLinkAbout925 COLUMBIA RD - PERMITS - 2/24/1992s DEVELOPMENT SERVICES/BUILDING PERMITS & INSPECTIONS DIVISION
�P.O. BOX 580, FORT COLLINS, CO 80522-0580
221-67691
City of o BUILDING PERMIT
JOB SITE ADDRESS 4 E
- Permit Type Work Type I Category Type
WATER Fp
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Proposed Use
Use Zone
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Subdivision
PUD
Filing
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Subdivision/PUD
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Lot
Block
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Parcel No.
Last
First
M.I.
NEWTON COME
Z
Address
City
3:
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State Zip
Phone No.
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1 -
Company Name
Contractor License No.
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Address
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City
State
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Zip .
Phone
- Sales Tax
No.
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Arlqvil
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Construction Type
Occupancy Group
Fire Sprinkler
Building Square Footage
No. of Stories
Bldg. Height
Occupant Load
Occupancy Separation -
Area Separation
O
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No. of Dwelling Units _
No. of Bedrooms
No. of Bathrooms
Fireplace/Stoves
Basement
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Text:
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WATER HETAER REPLACEMENT
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ZBA Case No. BBA Case No.
Permit No. Permit Date
0920441 14AAJ FEBRUARY 24.99
As a condition f the issuance of a permit, I hereby declare that I am an owner
or the owner'I 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 Date
ORIGINAL - FILE. BLUE - OFFICE. CANARY - SALESTAX. PINK - APPLICANT. TAG - FIELD CARD
Building Valuation
Fire Containment
Stock Plan
Options
LEFT
Area
File No.
St. Parking
SITE SETBACKS
REAR
RIGHT
FRONT
CALL 221-6769
TO SCHEDULE INSPECTIONS
(See reverse side for
Inspection Description)
ENP
L f?1W it 1 •-+K v t iS r-
OTC PERMIT ISS (Electrical
Mechanical
Plumbing