HomeMy WebLinkAbout700 Campfire Rd - Permits/Electrical - 09/22/2006—vm
Community Planning & Environmental Services BUILDING PERMIT
Building & Inspections Division
PERMIT FEES
P.O. Box 580 281 N. College Ave.
Building valuation
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Fort Collins, CO 80522-0580
City of Fort Collins Phone (970) 221-6760 Fax (970) 224-6134 B 0 6 0 1 1 9
�DATC
ACCOUNT
FEE
JOB
SITE ADDRESS
PERMIT DATE
Building Perm it w/o Sub
$20.
0 9/22/0
PERMIT
TYPE PERMIT LEVEL
CATEGORY TYPE
Last Name, First, Middle Initial
ConsTruction Type Occupancy Group nn
t City Sales/Use Tax
$18.
0 9/22/0
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County Sales/Use Tax
$4.
0 9/22/0
Address
City/State*No.
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p No. of Stories
Building Height
GRM
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Zip
Phone No.O
Building Square Footage
Stock Plan/Options
Front Setback
Rear Setback,
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Right Side Setback
Left Side Setback'
Elm
Plat File No.
ZBA Case Number
(See reverse side for Inspection Description)
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Subtlivision/PUD
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Lot
Block
Lot Area
Company NameI
Contractor License No.
NEW METER AND PANEL FOR SPRINKLER CLOCK AND LIGHTS
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 City ordinances, and State laws associated with such work. I understand that such permit may be revoked in the
event that issuance was based on incorrect or incomplete information. This permit shall become null and void if the work authorized by such permit is not
commenced, suspended,, abandoned or inspected within 180 days from the date of such permit or from the date of the last inspection. a!
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Print name of 6wnerlagent Signature Date TOTAL FEES