HomeMy WebLinkAbout2228 Country Club Rd - Permits/Electrical - 07/12/2005Community Planning & Environmental Services
Building & Inspections Division
(MMM P.O. Box 580 281 N. College Ave.
Fort Collins, CO 80522-0580
City of Fort Collins phone (970) 221-6760 Fax (970) 224-6134
10B SITE ADDRESS ,,,Q MI IAIToV /M 110 13M
Last Name, First, Middle Initial
W
Address
City/State
3
Zip
80026
Phone No.
Front Setback
Rear Setback
Z_
Right Side Setback
Left Side Setbac
Z
Plat File No. ZBA Case Number
a
_W Lot Block
O- Company Name
QAddress
raeancai
License No.
n
Mechanical
License No.
O
Roofing
License No.
H
Z
Framing
License No.
V
j
Plumbing
License No.
h
Concrete
License No.
INSTALL ELECTRIC IRRIGATION METER
Zoning District
Parcel No.
she No.
BUILDING PERMIT
Building Valuation
B0503474 I
ACCOUNT FEE
PERMIT DATE
LEVEL
Construction Type Occupancy Grc
Wp No. of Stories Building Height
O
V Building Square Footage Stock Plan/Options
(See reverse side for Inspection Description)
FNE E0
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.
Building Permit w/o Subs ai5.01
�N NM/ /�<<ify!� f>l L.�i✓ �� ✓ � �'� " ®S TOTAL Print name of owner/agent Signature Date AL FEES $Z�JI
DATE PAID
7/12/05