HomeMy WebLinkAbout1113 Oakridge Dr - Permits - 12/11/2002Community Planning &Environmental Services BUILDING P E RM I TPERMIT FEES
" Building & Inspections Division
i P.O. Box 580 281 N. College Ave. Building valuation
Fort Collins, CO 80522-0580 g� a � $500.00
Cityof Fort Collins phone (970) 221-6760 Fax (970) 224-6134
ACCOUNT FEE DATE PAID
JOB SITE ADDRESS 1113 PERMIT DATE 1 1 Building @rml tf Subs
PERMIT TYPE Elechicall Aftembon 1PERMITLEVEL ISSIJ FIJI I CATEGORY T u+s nfs ini~
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Construction Type
Occupancy Group
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No. of Stories
Building Height
Zip 80525
Phone No.
Building Square Footag0 Stock Plan/Options
Front Setback
Rear Setback
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Right Side Setback
Left Side Setback
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Plat File No.
ZBA Case Number
Zoning District
(See reverse side for Inspection Description)
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Subdivision/PUD
Filing
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Block Lot Area 0
Parcel No.
ceCompany
Name
Contractor License No.
AAddress
City/State
IT ELECTRIC, INC.
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FAMILY MEDIGNE
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License No. M E -19 5
License No.
License No.
License No.
License No.
License No.
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 ul1 and void if the work authorized by such permit is not
commenced, suspended, abandoned or inspected within 180 days from t date of such it from the date of the last inspection.
Print name of owner/agent Signature Date