HomeMy WebLinkAbout925 COLUMBIA RD - PERMITS - 7/27/1992DEVELOPMENT SERVICES/BUILDING PERMITS & INSPECTIONS DIVISION
P.O. BOX 580, FORT COLLINS, CO 80522-0580
221-6769
BUILDING PERMIT
JOB SITE ADDRESS yie5 LULUMBIR KU
F- Per�piATf R HEATER. _ WcPtLTtoe
uj Pro
FMR$EEN OR MORE FAMILY 'BLDG use Zone
Subdivision � PUD
Filing
Q Subdivision/PUD
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Lot - Block Parcel No.
LasNAIL. First .. SALLY M.I.
3 Ad3b E. SHEFFIELD .CR City FORT .COLLINS .
O, State CO Zip 80526. PhoneN484-4210
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c°rIPLLE*ePLUMBING A HEATING Contractor LiceiM;F 4
<E AdIV1 S. LINK LN. City FT COLLINS St,
o zip 80524 Phone 484-4841 Sales Taxj�1O
Construction Type - Occupancy Group Fire Sprinkler
Building Square Footage No. of Stories Bldg. Height
Occupant Load Occupancy Separation Area Separation
O
No. of Dwelling Units No. of Bedrooms No. of Bathrooms Fireplace/Stoves Basement
O
O TexREPLACE WATER HEATER
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ZBA Case No: BBA Case No.
Permit No: 0921942 Permit-W Y 27, 1992
As a condition for the issuance of a permit, 1 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,
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.
s
Signature Date
ORIGINAL - FILE. BLUE - OFFICE. CANARY - SALESTAX. PINK - APPLICANT. TAG - FIFI-D CARD
Building Valuation
SITE SETBAC
REAR
LEFT
FRONT
. VV Lot Area
.00
,v
Off St. Parking
RIGHT
CALL 221-6769
TO SCHEDULE INSPECTIONS
(See reverse side for
Inspection Description)
A211
Fire Containment
Stock Plan Options
27JUL 2 HH 1 45
27JUL ,2 HH 1845
PERMIT $15.Liol
AMT .UE $15. oo
G IEGIC 415.00
Electrical
Mechanical
Plumbing