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BUILDING PERMIT APPLICATIOI!
Jurisdiction of,
Applicant'to complete numbered spaces only.
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SPECIAL CONOITIONS:
Sl.o ot Bldg.
(Tolal, Sq. Ft.
OFFSTREET PARKING SPACES,
NOTICE
SEPARATE PEBMITS ARE REOUIRED FOR ELECTRICAL. PLUMB.
ING, HEATING, VENTILATING OR AIB CONOITIONING.
THIS PERMIT EECOMES NULL ANO VOID IF WORK OB CONSTRUC.
TION AUTHORIZED IS NOT COMMENCED WITHIN 120 DAYS. OR IF CONSTRUCTION OR WORK IS SUSPENDEO OR ABANDONED
FOR A PEBIOO OF 120 DAYS AT ANY TIME AFTEF WORK IS
COMMENCED.
I HEREBY CERTIFY THAT I HAVE REAO ANO EXAMINEO THIS APPLICATION ANO KNOW THE SAME TO BE TRUE ANO CORRECT.ALL PROVISIONS OF LAWS ANO OROINANCES GOVERNING THIS TYPE OF WORK WILL EE COMPLIEO WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES.NOI PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE -PERFORMAHCE OF CONSTRUCTION.
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WHEN PROPEBLY VALIDATED IIN THIS SPACEI THIS IS YOUR PERMIT
PLAN CHECK VALIOATION PERMIT VALIDATION pr<4j iF 5,/q/
Fo.m I0O.l 1.77 INSPECIOR
AGLE COUNTY BUILDI NG PERMIT APPLI CAT]ON
FI NAL:
Review
Permit No.
.7
Fl Plannirrg Commission File No.
t
Review and return to the County Buildirg Official within 6 working days
Applicant
Planning: Complies with:
Subdivi sion Regul ations
Zoning Regulations
Site Pl an (Landscaping)
No
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Reviewed by:oatez /z73t7cl
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proval :
Gounty Engineer: Roads
Grading
Drainage
tr tr n n
u tr tr
F Recommend
County Health: Water
Sanitation
Perc. test
tr tr n n
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Final Inspection: C/O
Recommend Approval
Comments:
Dtr
Firral Inspection: Landscaping
Recommend Approval D tr
Comments:
C,/o lssued
Final Fi ling Date
by Date
.EAGLE COUNTY BUILDING PERMIT APPLICATION
FTNAL: C/o INSPECTIgN, J-ANDSCAPE INSPEOTION FORM
'Review Bouting Form 1{erimary Routing ( ) -Rerouting F*l i S/"'-,-e
Applicant
lannirrg Commission File No.
Review and return to the County Buildirrg Official within 6 working days
Permit No.Date Referred
P lanning: Complies with:
Subdivi sion Regul ations
Zoning Regulations
Site Plan (Landscaping)
Commerrts:
Reviewed by:
Becommend Approval :
No
E u
tr
Yes tr tr n
tr
Date:
County Engineer: Roads
Grading ' Drainage
tr tr n
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Comments:
County Health: Water
Sanitation
Perc. test
Comments:
Recommerrd Approval :
D tr tr n
tr n tr n
Final lnspection: C/O
Recommend Approval
Comments:
trn
Firral I nspect ion: Landscap i
Recommend Approval
Commerrts:
ng !
Final Fi lino Date
by Date C,/O lssued
APPLICATION
I
BUILDING PERMIT
PLAN CHECK VALIDATION cK-
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PERMIT VALIDATION
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lr valuarionof.work:$ _ lUr:(A+g .. .
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PLAN cHEcK r-ee Qvla(....1 _-eeawr r e_1 _.le| 5.. 5_O,
SPECIAL CONOITIONS:Tygo ot
Conlt.
Ogcupanc
G.oup Olvlslon
Slre ol Bldg.
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No. ot
Storl€r
Max.
Occ. Lord
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Requlred Qyg3 [Nq APPLICAIIOI{ ACCCPTED 8Y.PLAi6CHEC(EO AY APPNOV€D FOR ISSUANCE AY
No. ot
Owolllng-Unltt
OFFST RI
Covo.od
:ET PARKING SPAGES:
I Uncor.red
NOTICE
-SEPARATE PERMITS ARE REOUIBED.FOB ELECTRICAL, PLUMB.
ING. HEATING, VENTILATING OR AIR CONDITIONING.
THIS PERMIT BECOMES NULL ANO VOIO IF WORK OR CONSTRUG .TION AUTHORIZED IS NOT COMMENCED WITHIN 12O DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED
FOF A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS
COMMENCED.
Spscial Approvals Rsquirsd Recsirod Not Requirod
ZONING
HEALTH DEPT.
FI RE OEPT.
SOIL REPORT
OTHER lSpoclfyl
I HEREBY CERTIFY 1 APPLICATION ANO KN ALL PROVISIONS OF TYPE OF WORK WILL
- WHEN PROPERLY VALIDATED IIN TI{ IS SPACEI THIS IS YOUR
Form t OO.l t.??INSPECIOR
(Affidcvfr on roveise dde of opplicolion to be completed by quthorlzed ogsnt ol ovnerl