HomeMy WebLinkAbout615 E PLUM ST - PERMITS - 9/15/2000Community Planning &Environmental Services BUILDING PERMIT
I PERMIT FEES
Building & Inspections Division
9h
P.O. Box 580 281 N. College Ave. I
Building Valuation $170.00
Fort Collins, CO 80522-0580 00015632
CityofF Phone (970) 221-6760 Fax (970) 224-6134
ACCOUNT
,.FEE
#3A7E
JOB
SITE ADDRESS 615 E PLUM ST FTCO
PERMIT DATE09/15/2000
Building P•rtnit WO/subs
$15 00
09/15l200
..
PERMIT
TYPE
ELEC Electrical Alteration
PERMIT LEVEL
ISSU_FUL
CATEGORY TYPE
RESIDENTIAL
Last Name, First, Middle Initial
Construction Type
Occupancy Group
VANDERVELDE, NORMAN G
Z
Address
City / State
p No. of Stories
Building Height
3
615 E PLUM ST
FORT COLLINS, CO
0
ZIP
80524 Phone
No.
Building Square Footage Stock Plan/Options
_
0
Front Setback Rear
Setback
! •
Z
Right Side Setback Left Side Setback
' • • •�
Z
�
• •
Plat File No. ZBA Case Number Zoning District
Subdivision/PUD Filing
(See reverse si a for Inspection Description)
FNE RE EG
Q
w
J
n
Lot Block Lot Area 0 Parcel bl)13235001
Name Contractor License No.
OCompany
Address City/State
Z
Phone Supervisor Cert. No.
U
Electrical License No.
0
Mechanical
License No.
I ;;
Roofing
License No.,
0
Framing
License No.
m
Plumbing
License No.
k=i)
ELECTRICAL - KITCHEN: 2 SMALL APPLIANCE 240 V CIRCUITS.
LAUNDRY: 240 V DRYER, WASHER CIRCUIT,+�
GARAGE: 1 CIRCUIT VIA TRENCH
ALL WORK TO BE DONE BY HOMEOWNER. AFFIDAVIT ON FILE.
As alcondlMn
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
commenced,
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
suspended, abandoned or not inspected within 180 days from the date of su h permit or from the date of the last inspection.
uas'kr
au"„
1', e A-N J41NPERNE�LDE %��� 9 l5 -oo
name of owner/agent Signature Date
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