HomeMy WebLinkAbout4861 BOARDWALK DR - PERMITS - 5/31/2001fibCommunity Planning &Environmental Services BUILDING PERMIT
Building & Inspections Division
P.O. Box 580 281 N. College Ave.
Fort Collins, CO 80522-0580
ctevef F� ° Phone (970) 221-6760 Fax (970) 224-6134 B Q 1 03189
JOB SITE ADDRESS 4861 BOARDWALK DR PERMIT We 5 / 3 1 / 200 1 BL
PERMIT,TYPE ELESER Electrical Service Change PERMIT LEVEkqSU_FUL cALEGRAPH SYS
-First, Middle Initial kNroof
truction Type Occupancy Group
3 E CASTILLA AVE city /@4VC`LEWOOD 00 801 S stories Building Height
30 801 22
Front Bathe
C7
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Plat File No
Subdivision
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TY ELECTRIC 11
No. ana-one-nano
-344
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F N E EG
Building Valuation
$800.00
ACCOUNT FEE DATE PAID
Icing Perait w/o Subs $15.00 5/31/01
As a condition for the issuance of a permit, I hereby declare that I am an owner or the owners 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 not inspected within 180 day om the date f such permit or from the date of the last inspection.
Print name of owner/agent Date TOM FEES