HomeMy WebLinkAbout2413 Leghorn Dr - Permits/Electrical - 06/18/2003Community Planning &Environmental Services BUILDING PERMITPERMIT
Building &Inspections Division
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 EB0303711
ACCOUNT
FEE
DATE PAID
JOB
SITE ADDRESCC__
�2413
PERMIT DATE
LEGHORN DR
06 182003
10lding Permit w/o Subs
$15.00
6/18/03
PERMIT
TYPE PERMIT LEVEL
ELEC Electrical Alteration ISSU
FUL
CATEGORY TYPE
Residential
Ity Sales/Use Tax
$5.25
6/18/03
Last Name, First, Middle Initial
Construction Type
Occupancy Group
W
ounty Sales/Use Tax
$1.40
6/18/03
Address
City/State
O No. of Stories
Building Height
3
Zip
80526-1442
Phone No.
V Building Square Footage I Stock Plan/Options
Front Setback
Rear Setback
Z_
Z
Right Side Setback
Left Side Setback
• • • •
•
(See reverse side for Inspection Description)
F N E R E E G
-
Plat File No.
ZBA Case Number
Zoning District
J
Subdivision/PUD
1013400.00
Filing
wLot
Block Lot Area
Parcel No.
O
Name
Contractor License No.
�Ccmp.asny
City/State
-
Electrical
License No.
anica
License No.
OMec
Roofing
License No.
H
Z
Framing
License No.
U
DPlumbing
License No.
(n
Concrete I
License No.
REMOVE & REPLACE ELECTRICAL 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.
&/ j - 0 3-
Print name of own/agent Sig re Date
Q FEES