HomeMy WebLinkAbout7441 Triangle Dr - Permits - 04/22/2004Community Planning &Environmental Services
Building & Inspections Division BUILDING P E RM I TPERMIT
FEES
- P.O. Box 580 281 N. College Ave.
Building Valuation
Fort Collins, CO 80522-0580
City of Fort Collins phone (970) 221-6760 Fax (970) 224-6134 B 010 0 3 9 `
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72 5.0 0
ACCOUNT
FEE
DATE PAID
SITE ADDRESS 7441 TRIANGLE DR PERMIT DATE
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JOB
PERMIT
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TYPE
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PERMIT LEVEL CATEGORY TYPE
ELESER Electrical Service Change ISSIJ_FUL Residential
City SaiesJUse Tax
$Jn 8
1 J26{CC
Last Name, First, Middle Initial
MELODY HOMES, INC
Construction Type Occupancy Group
W
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AddrNAROLD
W vounty Sa!es/Use Paz
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$ ` ' `�
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3
F..,ANDELA City/State
C 11031 SHERIDAN BLVD
No. of Stories BuildingHeight
g
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Zip Phone No.
$Q��Q 303-466-1$31
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Building Square Footage Stock Plan/Options
Front Setback Rear Setback
O
0
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Z
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Right Side Setback Left Side Setback • •
0
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Plat File No.
ZBA Case Number Zoning District (See reverse side for Inspection Description)
Subdivision/PUD Filing F N L F 1,
J
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u
wLot
Block Lot Area Parcel No.
Company Name Contractor License No.
Q
V
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Address City/State
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Phone Supervisor Cert. No.
V
Electrical License No.
""EYL;' LLLCTC MC 1C2
OMechanical
R
License No.
Roofing License No.
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Z
0
Framing License No.
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Plumbing License No.
Concrete License No.
INSTALL NEW ELECTRIC SERVICE FOR 3 HP IRRIGATION BOOSTER PUMP IN GREENBELT AT REGISTRY
RIDGE
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
herein. I agree to comply with all City ordinances, State
As a
described
event
and laws associated with such work. I understand that such permit may be revoked in the
that issuance was based on incorrect or incomplete information. This permit shall become null and void if the work authorized by
commenced,
such permit is not
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
Print
TOTAL FEES
$2$.7