HomeMy WebLinkAbout6570 Portner Rd - Permits - 08/28/1996Community Planning &Environmental Services
Building Permits & Inspections Division
BUILDING P E RM I T
P.O. Box 580
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22}-67�
JOB SITE ADDRESS
�i5r0 PORINLR RD
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Permit Type
LLECTRICAL
Work Typa
ALTERATION
Category TYPE
REPAIR GARAGE
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Proposed Use
IRANSPORIAIION
Use Zone
iLRMTNAL
Permit Level
(DLL/FINAL
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Subdivision
PUD Filing
PERMIT FEES
Subdivision/PUD
Building Valuation
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J
Lot
Bbck Parcel No.
50�a0
CITY OF IT COLL
ZAddress
3 P 0 80k
Q State Zip
CO 80522
Oc Company Nome
GLANZ ELECTRICAL
a Address
(COY 1113 F.LINCC
O Z'p
u 80524
LEFT
SETBACKS
REAR
FRONT
RIGHT
First
M.I.
PLAN CHECK [LE
BLDG PERMIT NON S
CITY GALES USE TA
COUNTY SALES TAX
0.00
50.50
0.00
0.00
960828
960828
960828
960828
'
Lot Area
0
cy
1 FT COLI.INS
Plat File No.
Phone No.
Ottst. Parking
NTRAC.
Contractor License No.
ME-246
CALL 221-6769
TO SCHEDULE INSPECTIONS
(See reverse side for Inspection Description)
city
FORT COLLINS
state
CO
PhoneST
Phone
482 -5218
Sales Tax No.
21494
roup
Fire Sprinkler
Fireplace/Stoves
,are Footage
No. of Stories
Building Height
Y Occupancy Load Occupancy Separation Area Separation �� EJ(i RF
y p Fire Containment
FU FNF
3 No. of Dwelling Units No. of Bedrooms No. of Bathrooms Stock Plan/Options
® TOTAL FEES
O Ten+ � 50
oZ INSTALL CONDUIT AND WIRING CONDUCTORS FOR FUEL STORAGE LEAK DETECTION AND
UNDERGROUND MONITORING SYSTEM. INTRINSICALLY SAFE SYSTEM. RECONNECT
a EXISTING CIRCUIT AND CONMA CONDUCTORS TO 4 EXISTING FUEL DISPENSERS
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1JUII AUGUST 28, 1996d
As a condition for the issuance of a permit, I 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 maybe 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 da# from the date of such permit.
ature %?-( 2� Date a/rp/7
PLAN CHECK I PASSED 1960828 NjA
Mechoni
N/A
Plumbing
N/A
Other
N%A