HomeMy WebLinkAbout528 W Magnolia St - Permits/Electrical - 10/16/1991DEVELOPMENT SERVICES/BUILDING PERMITS & INSPECTIONS DIVISION
SITE SETBACKS
P.O. BOX 580, FORT COLLINS, CO 80522-0580
- = 221-6769
REAR
t�o a BUILDING PjER ff
LEFT RIGHT
JOB SITE ADDRESS 528 W MAGNOLIA ST
F
Permit Type (
Mrk Type Category Type
ELECTRICAL
SERVICE CHANGE ELECTRICAL SINGLE FAMILY DETACHED
n
Proposed Use
Use Zone Parmit Level
RESIDENTIAL
FULLJFINAL
Subdivision PUD
Filingt
PERMIT FEES
Q
Subdivision/PUD
Building Valuation
0
40❑
FRONT
Lot
Block
Parcel No.
ACCOUNT
FEE
DATE PAID
Last
First
fvt.l.
lot Area
WRIGHT
WILLIAM
BLDG PERMIT FLAT
15.00
911016
Z
Address
City
CITY SALES -USE -TA
4.04
911016
Pat File No.
"3
28 -
FT
State Zip
Phone No.
Cef St. Parking
O'
cn A0921
Company Name
4
Contractor License No.
• • •
O
C
_ __-
__
__
Address
City
State
CALL 221-6769
v
2 5 MIDPOINT OR @D
FT COLLINS
CO
i_--
— _
_-
TO SCHEDULE INSPECTIONS
Zip Phone Sales Tax No.
1
(See reverse side for
O 0 19171
Corema; ion Type Occupancy Group Fire Sprinkler
.__ _ _
_
_
Inspection Description)
UGE
ESC
RE ^
Building Square Footege
No. of Stories
Bldg. Haight
TOTAL FEES
00
EG
FNE
Occupancy Separation
Area Separation
Fire Containment
OC=frortLoad
3
No. of Dwelling Units
No. of Bedrooms
Fireplace/Stores
Basement
Stock Plan
Options
O
2
O
Taxc
I
INSTALL NEW SERVICE (METER & PANEL)
a,
to
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MA
Case No.
No.
BBA Case No.
Permit Dare
Permit
I
0912873
OCTDBER 16 1991
DEPARTMENT
STATUS
DATE
•
As a condt 'nor the issuance of a permit, I hereby declare that I am
Electrical +-
1 "i 171
an owner or the owner's agent, authorized to perform the proposed
work ogirthe property described herein. I agree to comply with all the
_
—
Mechanical
requirements contained herein, and 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 information.
--
-
Plumbing
Signature
Data
I ORIGINAL -FILE, BLUE -OFFICE, CANARY - SALESTAX, PINK -APPLICANT TAG -FIELD CARD