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HomeMy WebLinkAbout6570 Portner Rd - Permits - 03/27/1997Community Planning & Environmental Services SETBACKS Building Permits & Inspections Division BUILDING PERMIT P.O. BOX 580 REAR Citvof Fort Collins Fort Collins, CO 80522-0580 22 1 -6769 JOB SITE ADDRESS 6570 PORTNER RD ♦— Permit Type LEFT — 80525 uu ELECTRICAL Pro osad Use work Type ALTERATION Use Category TYPE PUBLIC WORKS BUILDING zone F NSPORTATION TERMINAL Permit Level J Subdivision PUD Filing FULL/FINAL PERMIT FEES < Subdivision/PUD w Building Valuation J Lot Block Parcel No. 250 FRONT Last TRANSFORT First "L ACCOUNT FEE DATE PAID RIGHT I Z Address PLAN CHECK FEE 0.00 Lot Area 3 6570 PORTNER RD ° FORT COLLINS BLDG PERMIT NON S CITY SALES USE TA 16,E Plat Fne Na. StateZip 80525 Phone No. 221-6620 COUNTY SALES TAX �; Off St. a-' O Com an Name DICKyINSON ELECTRIC Cont actor License-17 ME-157 Parking G Address City State 1175 E 2NO STREET LOVELAND Co CALL Z Z�0537 221-6769 O Phone Sales Tax No. 669-1389 22757 TO SCHEDULE INSPECTIONS (See reverse side for Inspection Description) Construction Type Occupancy Group Fire Sprinkler Fireplace/Stoves Building SquaO Footage Basement Square Footage No. of Stories Building Height Se W - - �+ UGE ESC RE Occupancy Load Occupancy Separation Area Separation P Fire Containment O EG FNE 3 No. Dwelling Units No. of Bedrooms No. of Bathrooms Stock Plan/JDptions O f TOTAL FEES o ttECTRIC METER DISCONNECT FOR SIGN d a v (Al w ` • 0970930 , ✓ t' ""'gARCH 27, 1997 P� DEPARTMENT STATUS - DATE As a condition for the issuance of a permit, I hereby declare that I am an owner or the PLAN CHECK PASSED 970327 El�r j`� 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 n�gchg71 laws associated with such work. I understand that such permit may be revoked in the event N� A 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 Plumbing inspected within 180/days from the date of such permit. N/A J Other Signature SSSeee///---!!! iii/// c?y 7 Date � a� j ) N/A