HomeMy WebLinkAbout2528 Clearview Ave - Permits/Electrical - 05/31/2006Community Planning & Environmental Services
Building & Inspections Division
P.O. Box 580 281 N. College Ave.
Fort Collins, CO 80522-0580
CityofFort Collins phone (970) 221-6760 Fax (970) 224-6134
JOB SITE ADDRESS 2528 CLEARVIEW AVE
PERMIT TYPE PEF
ELEC Electrical Alteration
Last Name, First, Middle Initial
CITY 0 FT COLLINS
LU
3 Address City/State
PO BOX 580
O Zip Phone No.
Front Setback near
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0
Z_
Right Side Setback Left
Side Setback
Z
Plat File No.
ZBA Case Number
Zoning District
Subdivision/PLID
Filing
wLot
Block
Lot Area
Parcel No.
J
0::
Company Name
Contractor License No.
GIRT
CI.TIY TT
ME 3144
Address
City/State
H
OPhone
Supervisor Cert. No.
V
970 359 5731
Electrical
License No.
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ELECTRIC 11
Mechanics
License No.
O
GRoofing
License No.
Framing
License No.
0
ca
Plumbing
License No.
N
Concrete
License No.
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BUILDING PERMIT
Building Valuation
B0602540 ACCOUNT
PERMIT DATE
05 3'i 2006 Building Permit w/o
LEVEL CATEGORY TYPE
ISSU_FUL Non Res Bldg Const City Sales/Use Tax
Construction Type Occupancy Group
County Sales/Use Tax
p No. of Stories Building Height
OBuilding Square Footage I Stock Plan/Options
(See reverse side for Inspection Description)
FME RE EC
INSTALLATION OF QWEST CABINET (BETWEEN TWO EXISTING HOUSES)
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.
Aks5�� S�t-oxe•d S -3 D1�
Print name owner/agent Si re Date TOTAL FEES
FEE DATE PAID
$15. 0 5/31/0
$s.5 5/3I/0
$2. 0 5/31/011
$27