HomeMy WebLinkAbout1208 W Elizabeth St - Permits/Electrical - 11/22/2006Community Planning & Environmental Services
Building & Inspections Division
P.O. Box 580 281 N. College Ave.
Fort Collins, CO 80522-0580
c,evafF Phone (970) 221-6760 Fax (970) 224-6134
3 SITE ADDRESS
TYPE
Last Name, First,
LIJ Addres
3
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Front Se bac
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Plat File No.
Subdivision/PUD
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w Lot
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8
Phone No.
Rear Setback
Left Side Setba
Contractor Lio
CiTy/State
7
License No.
License No.
BUILDING PERMIT
Building Valuation
B0605463
ACCOUNT
FEE lv�+
DATE PAID
PERMIT DATE
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LEVEL CATEGORY TYPE ��
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County 5a'les/Use ?az
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No. of Stories
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Building Height
(See reverse
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Inspection Description)
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PROVIDE 120V POWER (PULLING FROM EXISTING BUILDING) TO NEW SIGN FOR SAINT PAUUS EPISCOPAL
CHURCH (SIGN ON PERMIT B0604260)
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.
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Print name of owner/agent
Date
TOTAL FEES