HomeMy WebLinkAbout305 S Shields St - Permits - 12/12/2002Community Planning & Environmental Services
Building & Inspections Division BUILDING 12E11MIT
P.O. Box 580 281 N. College Ave. Building valuation
Fort Collins, CO 80522-0580 �� ���� $950.00
Qtv of Fort Conins
phone (970) 221-6760 Fax (970) 224-6134
'
JOB SITE ADDRESS 3' SSHIELDS ST PERMIT DATE 12/12/2002 ACCOUNT FEE DATE PAID
PERMITTYPE ELESER Electrical Service Change PERMIT LEVEL ISSU—FUL CATEGORYTYPE Residential
Last Ygprte•itirsyilieldla "ISHIRLEY Construction Type Occupancy Group
9X A I tJCL�.I L' f C
Addiag JUNCO CT City/stateFORT COWNS, CO O No. of Stories U Building Height 0
0 Zip 80526 Phone No. 223-9987 V Building Square Footag® Stock Plain/ ions
Front Setback Rear Setback
•
Z Right Side Setback Lett Side Setback
Z
Plat File No. ZBA Case Number Zoning District (See reverse side For Inspection Description)
Q Subdivision/PUD Filing F N E E G
wLot Block Lot Area Parcel No. 9710423007
OCompany Name Contractor License No.
Address City/State
H
OPhone Supervisor Cert. No.
V
ElecWfoTHING ELECTRIC CO. License No. ME-469
OMechanical License No.
Roofing License No.
H
ZZ Framing License No.
V
Plumbing License No.
h
Concrete License No.
WASHER/DRYER CIRCUTS
As a 6ondition 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 d of such permit or from the date of the last inspection.
� r �>✓ PSI=r� �a_ia -��
Print name of owner/agent Si nature Date [TOTAL FEES