HomeMy WebLinkAbout410 Jefferson St - Permits/Electrical - 06/07/1994— DEVELOPMENT SERVICES/BUILDING PERMITS & INSPECTIONS DIVISION
SITE SETBACKS
P.O. BOX 580, FORT COLLINS, CO 80622-0580
f 221-6769
REAR
ttve r BUILDING PERMIT
JOB SITE ADDRESS 410 JEFFERSON ST
LEFT RIGHT
F.
Permit Type
Nbrk Type
Category Type
ELECTRICAL !
ALTERATION
Office
dProposed
Use
RETAIL —GENERAL
Use Zane
Permit Level
FULL/FINAL
Subdivision PUD _NmmFilingPERMIT
FEES
Q
Subdivision/PUD
Building Valuation
980
FRONT
III
Lot
Block
Parcet No
ACCOUNT
FEE
DATE PAID
Last
ROCKY MOUNTAIN
First
DIAPER
M.I.
PLAN CHECK FEE
0.00
940607
Lot Area
z
-BLDG PERMIT NON S
11.SO-
940607
Address
cuy
Plat File No.
410 JEFFERSON ST
FORT COLLINS
CITY SALES USE TA
14.70
940607
state
Zip
Phone No.
Off St. Parking
O
CO
80524
¢
o
Comparry Name
SERVCO ELECTRIC
Contractor License No.
ME-357
REQUIRED INSPECTIONS
G
CALL 221-6769
Address
city
state
619 W CNTY RD 66E
FORT COLLINS
CO
TO SCHEDULE INSPECTIONS
ZO
(See reverse side for
Zip
Phone
sales Tax No.
8OS24
223-6220
UNKNOWN
Inspection Description)
_
Constmaion Type
Occupancy Group
Fire Sprinkler
UGE
ESC
RE
Building Square Footage
No. of Stories
Bldg, Height
TOTAL FEES
32.20
EG
FINE
Occupant Load
Occupancy Separation
Area Separation
Fire Containment
O
3
No. of Dwelling Units
No. of Bedrooms
No. of Bathrooms
Freplace/stoves
Basament
Stock Plan
Options
O
Z
d
T%ERVICE UPGRADE.
7JIH:4
HH 6179
w
?J N
4 HH 6179
r
ERPI I T
$17.50H
7JUN
6
4+, HH
79
AX PR
$14. 70t
T
Z A Case Nb.
RBA Case No.
Peirnn No.
j 0941677
Permit Data
1 JUNE 7, 1994
DEPARTMENT
STATUS
DATE
• •
UM�r-P�
PASSED
940607Electrical
As a condition f r issuance of a permit, I hereby declare that 1 am an owner
_
or the owner's gent, authorized to perform the proposed work on the property
_ _
described herqln. 1 agree to comply with all the requirements contained herein,
and City ordi nces, and State laws associated with such work.I understand that
-
_ _
Mechanical
such permit r{iay be revoked in the event that issuance was based on incorrect
information. This permit shall become null and void if the work authorized bysuch
permit is not commenced, suspended, abandoned, or not inspected within
180 ys from the date of such permit.
_
- -
Plumbing
Signature Ata,,J . / /
Date 7_A V
ORIGINAL, FILE,,RLUE - OFFICE, CANARY - SALESTAX. PINK - APPLICANT, TAG - FIELD CARD