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HomeMy WebLinkAbout617 MAPLE ST - PERMITS - 3/9/199829 SETBACKS Community Planning &Environmental Services BUILDING PERMIT Rat Building Permits &Inspections Division P.O. Box 580 221-6769 C11YDf T'ert Cel11r1R Fort Collins, CO 80522-0580 LEFT RIGHT JOB SITE ADDRESS 617 MAPLE S- se521 F„ Permit Type work Type- Category TYPE 5 ELECTRICAL SERVICE CHANGE ELECTRICAL SINGLE FAMILY DETACHED Use Zone Permit Level WProposed Use RESIDENTIAL FULL FINAL Subdivision El PUD El J Q Building Yuluotion FROM Subdivision/PUD W 1 670 J Lot Blak Parcel No. _ ACCOUNT s FEE` DATE PAID Lost FOSTER Flrsf JACK M.1. BLDG PERMIT FLAT 15.00 980309 LotAreo o, z ul" T, SALES USE TA 0 '00 980309 Address city Plat File No. 3 617 MAPLE ST FORT COLLINS CO MFY SALES TAX 0:00 980309 Stone Zip Phone No. Off St. Porking O CO 80521 4895-0770 K Company Name Cont-odor license No. • • � • ELECTRIC ME-440 221-6769 Address city S7 IHARRIS CALL 41 MUMMY VIEW CT LIVERMORE CO TO SCHEDULE INSPECTIONS - (See reverse side for Inspection Description) Zip phone sale: T. No. u 80536 481-3626 _ Condrudion Type Occuponq Group Fire 5pnnkler Fireplace/Stoves } RE Building Square Footage Basement Squore Footage No. of Stories Building Height � 0 EGE FNE O=pancy Load Occuparrcy Seporagon Area Separot;on Fire Containment 3 No. of Dwelling Units No. of Bedrooms No. of Bmhrooms Stak Plan/Options '; TOTAL FEES 15.00 W 0 _ p SERVICE CHANGE OUT - RESIDENTIAL 0 a a u w 0 ZBA Casa No. BRa Cos. No. ' DEPARTMENTSTATUS DATE • 0 Perna ode MARCH 9 199$ • L • Electrical OTC PERM T ISS N/A 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. -_ Mechooical I agree to comply with all the requirements contained herein, and City ordinances, and State N/A laws associated with such work I understand that such permit may be revoked in the event that issuance was based on incorrect information. This permit shall become null and void if } Plumbing the work authorized by such permit is not commenced, suspended, abandoned, or not - N/A inspected within 180 days from the date of such permit. Rooting N/A signure Dote — m - _ - l