HomeMy WebLinkAbout812 Peterson St - Permits/Electrical - 05/15/1996Community Planning & Environmental Services BUILDING P E RM I T
Building Permits & Inspections Division
P.O. Box 580 221-6769
City of Fort Collins Fort Collins, CO 80522-0580
JOB SITE ADDRESS 811 PETERSON ST
Permit Type Work T e Cale o TYPE
~ MECHANICAL ALTERATION NGLE FAMILY DETACHED
Proposed Use Use Zone Permit Leval
SINGLE FAMILY DWELLING FULL/FINAL
Subdivision ❑ PUD ❑ Filing
J
Subdivision/PUD Building Valuation
W 50
J Lot Black Parcel Mo.
LEFT
SETBACKS
REAR
FRONT
RIGHT I
ACCOUNT
FEE
DATE Rtuv
Lost -
ELIAS
First KATHERINE
M.I.
BLDG PERMIT FLAT
15.00
Lot Area
Z
Address
City
��
C; TY SALES USE T A
0.00
Plot File No.
811 PETERSON ST
FORT COLLINS
COUNTY SALES TAX
0.00
0
State Izi. Phone
No.
Off St Po ki
80524 484- 7 159
Soles Tax No.
Building Square Footage No. of Stories Bldg,
0
KOccupant Load Occupanry Separation Area
0
3 No. of Dwelling Units No. of Bedrooms No. of Bathrooms Fireplace/Stoves Base
0
p Text
REPLACING ELECTRICAL BOX
a
U
U
N
ng
REQUIRED •
CALL 221-6769
TO SCHEDULE INSPECTIONS
(See reverse side for Inspection Description)
TOTAL FEES 15.00 GL FNM SPI
Fire Containment
Stock Plan I Options
MAY 15, 1996 DEPARTMENT STATUS DATE` • •
E1e
As a condition for the issuance of a permit, I hereby declare that I am an owner or the
OTC PERMIT ISS N/A
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 mac 9"jCOI
that issuance was based on incorrect information. This permit shall become null and void if / !1
the work authorized by such permit is not commenced, suspended, abandoned, or not
inspected within 180 days from the date of such permit.
PIO
N jna
Signature Date (,�