HomeMy WebLinkAbout5550 Cinquefoil Ln - Permits - 08/13/2003Community Planning &Environmental Services BUILDING PERMIT
Building & Inspections Division
PERMIT
P.O. Box 580 281 N. College Ave.
Building Valuation
�-
Fort Collins, CO 80522-0580
0.00
City of Fort Collins phone (970) 221-6760 Fax (970) 224-6134 B 0 3 0 5 2 9 3
ACCOUNT
FEE.
DATE PAID
JOB
SITE ADDRESS5550 CINQUEFOILLN
PERMIT DATE08 13 2uU3
uiIding Permit w/o Subs
fity Sales/Use Tax
ounty Sales/Use Tax
$15.00
$6.75
$1.80
8/13/03
8/13/03
8//13J03
PERMIT
TYPE
ELESER Electrical Service Change
PERMIT LEVEL
ISSU_FUL
CATEGORY TYPE
Residential
Last Name, First, Middle Initial
VILLAGE HOMES OFCOLO
Construction Type
Occupancy Group
og:
Address
City/State
W
p No. of Stories
Building Height
Z
3
MIKE MENAGH
1 310 LASHLEY ST
0
V
Zip
Phone No.
Building Square Footage Stock Plan/Options
O
80501
303-678-5929
Front Setback
Rear Setback
Z_
Right Side Setback
Left Side Setback
• • •
Z
•
(See reverse side for Inspection Description)
i' IN E un
-
Plat File No. ZBA Case Number
Subdivision/PUD
Zoning District
Filing
_
Q
wLot
Block Lot Area Parcel No.
Q
Name Contractor License No.
OCompany
QAddress
City/State
dH'
OPhone
Supervisor Cert. No.
U
Electrical License No.
TIAPP FIECIRICINC
Mechanical
License No.
tW
Roofing
License No.
Z
Framing
License No.
m�
Plumbing
License No.
h
Concrete
License No.
NEW ELECTRICAL SERVICE OUT OF BAND HOLE FOR SIGN LIGHTING ** FOR VILLAGE HOMES
OBSERVATORY VILLAGE SIGNAGE - SOUTH ENTRANCE
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
commenc�ed,ps�uspended,
abandoned or inspected within 180 days from the to of uch pe from the date of the last inspection.
/
r ` 9//36 D
name of owner gent Signature Date
TOTAL FEES
$23 55
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