HomeMy WebLinkAbout907 E LAUREL ST - PERMITS - 10/10/2006�\ Community Planning &Environmental Services BUILDING PERMIT f Building & Inspections Division
P.O. Box 580 281 N. College Ave.
Building Valuation
Fort Collins, CO 80522-0580
cscy°fF�°f Phone (970) 221-6760 Fax (970) 224-6134 B0604809
ACCOUNT
FEE
DATE PAID
JOB
SITE ADDRESS
PERMIT DATE
0 f
1?
Building Permit w/o Sub
$20.
iO 10/10/0
PERMIT
TYPE
PERMIT LEVEL
CATEGORY TYPE
E EC Electrical Alteration
FUL
Residenti;I
City Sales/Use Tax
$18.
0 10/10/0'
Last Name, First, Middle Initial
Construction Type
Occupancy Group
County Sales/Use Tax
$4.
D 10/10/0
Address
City/State
p No. of Stories
Building Height
Z
O
0
Zip Phone
No.
Building Square Footage Stock Plan/Options
8 5
443-2967
_
Front Setback Rear
Setback
Right Side Setback Left Side Setback
Z
Z
• •
Plat File No. ZBA Case Number Zoning District
Subdlvislcn/Pl1D Filing
(See reverse side for Inspection Description)
F N E NE EC
_
a
wLot
Block Lot Area Parcel No.
J
7
Name Contractor License No.
OCompany
G
n FIFPTPTC
Address City/State
Z
0
n M u
Phone Supervisor Cert. No.
T
Electrical License No.
D MF 27
-
Mechanical
License No.
�
0
U
y
Roofing
License No.
Z
0
'
Framing
License No.
m
Plumbing
License No.
Concrete
License No.
CHANGE OUT EXISTING ELECTRIC PANEL - AS PER 2005 NEC
V
_
_
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.
narfie of ow r/agent Sighatuke U Date
TOTAL FEES
$43.
0
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