HomeMy WebLinkAbout212 Laporte Ave - Permits/Electrical - 06/13/1990DEVELOPMENT SERVICES/BUILDING PERMITS & INSPECTIONS DIVISION
SITE SETBACKS
P.O. BOX 580, FORT COLLINS, CO 80522-0580
221-6769
REAR
BUILDING PERMIT
LEFT RIGHT
JOB SITE ADDRESS
F
Permit Type
work Type Category Type
aProposed
Use
Use Zone Permit Level
Subdivision PUD Filingiij
Q
Subdivision/PUD
Building Valuation
200
FRONT
Lot
Block
Parcel No.
ACCOUNT
FEE
DATE PAID
Last
First
M.I.
Lot Area
GIFFORD
JOHN
BLDG PERMIT NON S
15.00
fZ
CITY SALES USE TA
2.7S
Address
Coy
Plat File No.
State
Zip
Phone No,
Off St. Parking
¢
CO
BOS21
Company Name
Contractor License No.
REQUIRED INSPECTIONS
O
H
Q
Address
City
State
CALL 221-6769
L VE AND
CO
TO SCHEDULE INSPECTIONS
o
(See reverse side for
zip
Phone
sales Tax No.
U
D
_
Inspection Description)
Construction Type
Occupancy Group
Fire Sprinkler
Building Square Footage
No. of Stones
Bldg, Heght
TOTAL FEES
1
RE EG FNE
¢
Occupant Wad
Occupancy Separation
Area Separation
Fire Containment
O
3
No. of Dwelling Units
No of Bedrooms
Fireplace/Stoves
Basement
Stock Plan
Options
O
k Z
O paxt
a ADDING OUTLETS ON NEW SHOP WALL FOR "CARPENTERS EDGE"
a
U
w
O
TA ( n qC
ZBA Case No. BBA Case No. DEPARTMENTAL
..0 D
Permit No. Permit Date
0900878 DUNE 13 1490 DEPARTMENT STATUS DATECONTRACTORS
ElecVical�., ��
UIL PERMIT
., t-
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 the
Mechanical
requirements contained herein, and 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 information.
Plumbing
f
#
Signature
Dat
ORIGINAL -FILE, BL - UFFIV, CANARY - SALESTAX, PINK -APPLICANT TAG -FIELD
CARD