HomeMy WebLinkAbout221 Parker St - Permits - 04/14/2004Community 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 80522-05 80 a, a . Q
City of Fort Collins phone (970) 221-6760 Fax (970) 224-6134 B 0 4 0 2 1 1
ACCOUNT FEE DATE PAID
PERMIT DATE r".�� i i F if1(l a;� C,�i.� Q>I �j+� ftR
JOB SITE ADDRESS 221 PARKER ST �,•� � 14 20)rFI Bul iuid(j Perr;it w/o Subs � 4, J y/ 14/04
PERMIT TYPE PERMIT LEVEL CATEGORY TYP
ELESER Electrical Service Change ISSU_FUL esidential Remodel
Last Name, First, Middle Initial Construction Type Occupancy Group
ce DIVINE. MARY
w Address City/State WQ No. of Stories Building Height
3 221 PARKER ST FORT COLLINS, CO 0
0 Zip Phone No. Building Square Footage Stock Plan/Options
80521 n
Front Setback Rear Setback
0 • • ••
Z_ Right Side Setback Left Side Setback
Z • 9 •
Plat File No. ZBA Case Number Zoning District (See[ reverse side for Inspection Description)
Subdivision/PUD Filina F N E u
J
Q
wLot Block Lot Area Parcel No.
J
Comoanv Name I Contractor License No.
Address
Phone
Electrical
License No.
Q'Jr'IL UC1t ELEVTI, U
154
W
Mechanical
License No.
0
H
H
Roofing
License No.
Z
Framing
License No.
0
U
m
Plumbing
License No.
V)
N
Concrete
License No.
REWIRE ENTIRE HOME - INSTALL METER DISCONNECT
LU
w
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 ermit or from the date of the last inspection.
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Print name of owner%agen't Signature ZDaD 6 TOTAL FEES