HomeMy WebLinkAbout2125 Romney Ave - Permits - 04/15/2004Community Planning &Environmental Services BUILDING PERMIT
ffl� ° Building & Inspections Division
P.O. Box 580 281 N. College Ave.
Building Valuation
i Fort Collins, CO 80522-0580
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City of Fort Collins phone (970) 221-6760 Fax (970) 224-6134 B 0 4 0 21 5 2
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ACCOUNT
FEE
DAA TE PAID
JOB
SITE ADDRESS 2125 ROMNEYAVE
PERMIT DATE i i- 2" �Building
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PERMITTYPE
ELEC Electrical Alteration
PERMIT LEVEL ISSU FUL
CATEGORY TYPE Residential
Last Name, First, Middle Initial
SCHREINER, FRANK
Construction Type
Occupancy Group
ZLU
3
Address
2125 ROMNEY AVE
City/State
FORT COLLINS, CO
in No. of Stories
O
Building Height
O
Zip 80526-1208
Phone No. 21 5165
V Building Square Footage Stock Plan/Options
0
Front Setback
Rear Setback
0
Z_
Right Side Setback Left Side Setback
Z
2
1'
Plat File No. ZBA Case Number Zoning District
(See reverse side for Inspection Description)
Subdivision/PUD Filing
i-lii it Lu
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Q
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Lot Block Lot Area 01 Parcel No. 9 i L s i u i v» U
Name Contractor License No.
OCompany
V
Q
Address City/State
Z
O
Phone Supervisor Cert. No.
Electrical License No.
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(L, [� a /�
(slit (7 PLAI LLLV Q 1i V�iS? � UJJ
W
Mechanical
License No.
Roofing
License No.
H
OFraming
License No.
V
Plumbing
License No.
co
Z)
N
Concrete
License No.
CHANGE OUT PANEL
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 permit or from the date of the last inspection.
name of owner/agent Signature Date
TOTAL FEES
$16.0
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