HomeMy WebLinkAbout615 CITY PARK AVE - PERMITS - 9/19/1990DEVELOPMENT SERVICES/BUILDING PERMITS & INSPECTIONS DIVISION
SITE SETBACKS
P.O. BOX 580, FORT COLLINS, CO 80522-0580
221-67 9
PERMIT
REAR
rrie BUILDING
LEFT RIGHT
JOB SITE ADDRESS 615 CITY PARK AVE
E E�Gr�fRICAL
A! TiATION �511�6�pE FAMILY DETACHED
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FEES
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400
FRONT
Lot
Block
Parcel No,
ACCOUNT
FEE
DATE PAID
'956�RT COLLINS
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aCITY OF
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BLDG PERMIT NON S
15.00
Let Area
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CITY -SALES -USE TA
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Address
Day
plat File No.
700 WOOD ST
FORT COLLINS
Sra—teCD
ZIp 84522
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Off St Parking .
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Co Name ELECTRIC
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Costracto� mei
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•INSPECTIONS
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CALL 221-6769
E 2ND STREET
C11LOVELAND
S`iv6
- _ _
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TO SCHEDULE INSPECTIONS
zip84537
Pno a
Safes np57
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(See reverse side for
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Inspection Description)
Il
Constmct o Type (.
Occupancy Group
Fire Sprinkler
UGE
EG
ESC
FNE
RE
-
Building square Footage
No. of Stories
eldy. Refight
TOTAL FEES
15.00
OOccupant
Load
Occupancy Separation
Area Separation
fire Containment
�LL
No. of Dwelling Units
No. of Bedrooms
Fireplace/Siwes
Basement
Stock Plan
Options
O
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ttECTRICAL SERVICE CHANGE
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ZHA'I se No. - BHA Case No.
•
Perm lNq. 0901719 "90TEMBER 19, 199
DEPARTMENT
STATUS
DATE
• •
Electrical
IAs a condition for the issuance of a permit, 1 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
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Mechanicalrequirements
contained herein, and City ordinances, and State laws
associated with such work. I understand that such permit may be
"Yoked in the event that issuance was based on incorrect information.
_
_ _ _ ._ _
_ _. _ _ __ .
Plumbing
1
Signature I
ORIGINAL FILE, BLUE - OFFICE. CANARY - SALESTAX, PINK - APPLICANT, TAG - FIELD CARD
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