HomeMy WebLinkAbout616 COOK DR - PERMITS - 2/13/200400 Community Planning & Environmental Services
Building & Inspections Division
�-ft�l P.O. Box 580 281 N. College Ave.
Fort Collins, CO 80522-0580
City of Fort Collins phone (970) 221-6760 Fax (970) 224-6134
JOB SITE ADDRESS 616 COOK DR
PERMIT TYPE
0
Z_ Right Side Setback
Z
2 Plat File No.
_ Subdivision/PUD
Q
w Lot
J
� Company Name
Address
Electrical
A `
Mech. '
0 ofing
H
Ro
H
Z Framing
0
U
on
Plumbing
N
Concrete
407-8043
Rear Setback
Left Side Setback
ZBA Case Number Zoning District
Filing
Block Lot Area Parcel No.
Contractor License No.
City/State
Supervisor Cert. No.
License No.
FdC ;fl fl
License No.
License No.
License No.
License No.
License No.
\J'i
(See reverse side for Inspection Description)
[C 1+t iu
CHANGE OUT ELECTRICAL PANEL (NE SERVICE UPGRADE), ADD RANGE OUTLET, ADD WEATHEPROOF
OUTLET.
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 permiit'or from the date of the last inspection.
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Print name of owner/agent Signature Date TOTAL FEES
FEE
DATE PAID