Loading...
HomeMy WebLinkAbout6741 Saint Thomas Dr - Permits/Electrical - 12/19/2005Community Planning &Environmental Services BUILDING PERMIT Building & Inspections Division I PERMIT FEES P.O. Box 580 281 N. College Ave. Building Valuation Fort Collins, CO 80522-0580 c;tvofFort collins phone (970) 221-6760 Fax (970) 224-6134 B0507361 00.00 ACCOUNT FEE DATE PAIL? JOB SITE ADDRESS 6741 SAINT THOMAS DR PERMIT DATE 12/19/2005 Building Permit w/o Sub ' $ty. 0 I2/19i0 PERMIT TYPE ELEC Electrical Alteration PERMIT LEVEL ISSU_FUL CATEGORY TYPE Residenti Last Name, First, Middle Initial Construction Type Occupancy Group CITY OF FORT COLLINS Address C' /State �tY p w No. of Stories Building Height P.O. BOX 580 FORT COLLINS, CO O O U Zip 8©522 Phone No. Building Square Footage Stock Plan/Options Front Setback Rear Setback ! , • 0 Right Side Setback Left Side Setback • • • • Z Z 14 Plat File No. ZBA Case Number Zoning District Subdivision/PLID Filing (See reverse side for Inspection Description) F N E RE E G Q Lot Block Lot Area Parcel No. Name Contractor License No. OCompany Address City/State Z O Phone Supervisor Cert. No. U Electrical License No. W Mechanical License No. CRoofing License No. License No. ZFraming U m Plumbing License No. N Concrete License No. INSTALL ELECTRIC POWER TO QWEST PHONE CABINET 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. name Signature Date