HomeMy WebLinkAbout412 W OLIVE ST - PERMITS - 11/20/2006w
mu _ Community Planning &Environmental Services BUILDING P E RM I TPERMIT
FEES
Building & Inspections Division
�i P.O. Box 580 281 N. College Ave.
Building Valuation
Fort Collins, CO 80522-0580
CitvofF phone (970) 221-6760 Fax (970) 224-6134 g0605408
ACCOUNT
FEE
DATE PAID
JOBSITE
ADDRESS
PERMIT DATE
412 WOLIVE ST
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PERMITTYPE
PERMIT LEVEL
CATEGORY TYPE
ELEC Electrical Alteration
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Residents
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Last Name, First, Middle Initial
Construction Type
Occupancy Group
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Address
City/State
Wp No. Stories
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Building Height
Zip Phone
No.
Building Square Footage Stock Plan/Options
80521
227-024
Front Setback Rear
Setback
0
Z
Right Side Setback Left Side Setback
Z
Plat File No. ZBA Case Number
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Zoning District
(See reverse side for Inspection Description)
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Subdivision/PUD
Filing
wLot
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Block Lot Area
Parcel No.
OCompany
Name Contractor
License No.
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Address City/State
ZZ
FORT COLLINS,
Phone
Supervisor Cert. No.
227 0242
Electrical
License No.
DAVRIA,
Mechanical
License No.
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Roofing
License No.
0
Framing
License No.
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Plumbing
License No.
NTRISH
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Concrete
I License No.
HOMEOWNER TO RUN NEW ELECTRIC AND NEW PLUMBING THROUGHOUT THE HOUSE - NO INCREASE
IN AMPS
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.
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Print name f owner/agent Si ure Date TOTAL FEES