HomeMy WebLinkAbout925 COLUMBIA RD - PERMITS - 1/14/1992DEVELOPMENT SERVICES/BUILDING PERMITS & INSPECTIONS DIVISION
P.O. BOX 580, FORT COLLINS, CO i80522-0580
SITE SETBACKS
221-6769
REAR
City BUILDING PERMIT
of o s
LEFT RIGHT
JOB SITE ADDRESS I
Permit Type
Work Type Category Type -
w
a
Proposed se
SEVEN THRU FOURTEEN FAMILY
Use Zone Permit Level
Fill I
Subdivision PUD
Filing
Q
Subdivision/PUD
Building Valuation
C7
L
FRONT
Lot
Block
Parcel No.
., '.. ACCOUNT
FEE
DAMPAID i
Last
First
M.I.
Lot Area
RAHNE
RANDY
15 QQ
920114
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�BLDG-PERPIT _FLAT
_bITYSALESUET
14`
Address
City
Plat File No. -
1204
State Zip
Company Name
Phone No.
Contractor License No.
Off St. Parking
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INSPECTIONS
OREQUIRED
H
Address
City
State
CALL 221-6769
Q
101
TO SCHEDULE INSPECTIONS
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(See reverse side for
zip Phone Sales Tax No.
4—
Inspection Description)
Construction Type Occupancy Group Fire Sprinkler
Building Square Footage
No. of Stories
Bldg. Height
TOTAL FEES
;F15.t
FNP
cc
Occupant Load
Occupancy Separation
Area Separation
Fire Containment
No. of Dwelling Units
No. of Bedrooms
No. of Bathrooms
Fireplace/Stoves
Basement
Stock Plan
Options
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Z
O
Text:
WATER HEATER REPLACEMENT
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i
ZBA
Case No.
BBA Case No.
,
Permit No.
Permit Date
.:DEPARTMENT ;.
STATUS
DATE
•
•
OTC PERMIT
ISS
Electrical
As a conditio fo the issuance of a permit, I hereby declare that I am an owner
or the owner' agent, authorized to perform the proposed work on the property
—
described her in. 1 agree to comply with all the requirements contained herein,
_
and Cit ordi ances, and State laws associated with such work. I understand that
y
�— — ---_-� i-- -
____ ___ _ __ ._....._ .._
_ __._ �___.
Mechanical
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.
________. _ ___ _ ..._
_ _ ___ _ _ ____.
__ _.________.
Plumbing
#
Signature
Date
ORIGINAL - FILE, BLUE - OFFICE, CANARY - SALESTAX, PINK - APPLICANT, TAG - FIELD CARD