HomeMy WebLinkAbout520 City Park Ave - Permits/Electrical - 06/28/1990DEVELOPMENT SERVICES/BUILDING PERMITS & INSPECTIONS DIVISION
SITE SETBACKS
P.O. BOX 580, FORT COLLINS, CO 80522-0580
221-6769
FEAR
o BUILDING PERMIT
LEFT RIGHT
JOB SITE ADDRESS
F-
Permit Type
Fk y - Category Type '-
U
DETACHED
a
Subdivision PUD
Fllmg
PERMIT FEES.,
Q
Building Ualuetron
-
Subdivision/PUD -
al
"
FRONT
'
Let
Block
Paicel No.-
ACCOUNT
FEE
DATE PAID
Las[
First
Ml
Lot Area
BLDGPERMIT--NON-S--"-
-
---- 45.00 -
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e
`i`y
Plat File No.
j3
CITY SALES USE TA
0.00
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-----------"------------------..-_
State
Zip
Phone No,
Off St Parking
O
Company Name
ConVmorLcense No.
ME 1577
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CALL 221-6769
AUl'EINSON ELECTRIC
city
state
p
-
-
TO SCHEDULE INSPECTIONS75 -
ZO
__ _ __ _ _
-
_ ____ _ _ _
(See reverse side for
Phone
Sales Tax No.
U
_ _ _ - - _
'
_ _ .___ _
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Inspection Description}
,.Oftw Type,
Occupancy Group
Fire Sprinkler
Building Square Footage
No.pf Stones
Bldg. Height
TOTAL FEE$
UGE"
ESE
RE.
Fire Containment -
G
OaupanlLead
Occupanc Solearshan
Aran Separation
;7G
FNE
7+y
TS a I-,
CC
u.
No. of Dwelling Units
No. of BCHroams
FreWaca/Stoves
Basement
Stock Plan
Optwns
ZYC.1
L
iv
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Text:
SERVICE CHANGE t,_y,i
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ZBA Case No.
BBA Case No.
Permit Dare
DEPARTMENT
STATUS
DATE
Permit No.
SUB CONTRACTORS
0
Electrical
1
OTC PER
IT I'SS,
As a CO ition for the issuance of a permit, I hereby declare that I am
_ _
_ _ - __ .__
_ :_ ___ _
an own r or the owner's agent, authorized to perform the proposed
work on the property described herein. I agree to comply with all the
-'
—
Mechanical j
requirements contained herein, and City ordinances, and State laws
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- --
associated with such work. I understand that such permit may be
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revoked in the event that issuance was based on incorrect information.
Plumbing
•'
Signature
ORIGINAL - FILE, BLUE - OFFICE, CANARY - SALESTAX, PINK - APPLICANT, TAG - FIELD CARD _