HomeMy WebLinkAbout328 W MOUNTAIN AVE - PERMITS - 11/13/2002Community Planning &Environmental Services BUILDING PERMITPERMIT
FEES
Building & Inspections Division
P.O. Box 580 281 N. College Ave.
Building Valuation
Fort Collins, CO 80522-0580
$1,000.00
City of Fort Collins phone (970) 221-6760 Fax (970) 224-6134 B 0 2 Q 6 9 3
ACCOUNT
FEE
DATE PAID
JOB
SITE ADDRESS 328 W MOUNTAIN AVE
PERMIT DATE 11/13/2002
Building Permit
City Sales/Use
County Sales/Us
v $17.5
fa $15. OC
$4. 0
1/13/02
1/13/02
1/13/02
PERMIT
TYPE
ELEC Electrical AReration
PERMIT LEVEL
ISSU_FUL
CATEGORY TYPE
Miscellaneous
Last Name, First, Middle Initial
CITY OF FT COLLINS
Construction Type
Occupancy Group
0�
w
3
Address
PO BOX 580
City/State
FORT OOW NS, CO
In No. of Stories 0
o
Building Height 0
Zip
Phone No.
Building Square Footage Stock Plan/Options
80522
0
Front Setback
Rear Setback
Z
Right Side Setback
Left Side Setback
• •
Z
(See reverse side for Inspection Description)
Plat File No. ZBA Case Number
Zoning District
Subdivision/PUD
Filing
RE EG
_
Q
w
Lot Block Lot Area Parcel No
0 9711407925
Name Contractor License No.
OCompany
Address City/State
Z
Phone Supervisor Cart. No.
V
Electrical License No.
BINDER ELECTRIC 1E-590
Mechanical
License No.
Roofing
License No.
F
Z
0
Framing
License No.
m
Plumbing
License No.
N
Concrete
License No.
INSTALL EXTERIOR SUB PANEL
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 ermit shall become null and void if the work authorized by such permit is not
com
d, suspended, abandoned or inspected within 180 days from date of s ' or from the date of the last inspection.
/
Print
name of owner agent a, re Date