HomeMy WebLinkAbout646 STOVER ST - PERMITS - 3/4/2004Community Planning & Environmental Services
Building & Inspections Division
OWN"
P.O. Box 580 281 N. College Ave.
Fort Collins, CO 80522-0580
Cityof Fort Collins phone (970) 221-6760 Fax (970) 224-6134
JOB SITE ADDRESS 646 STOVER ST
PERMIT TYPE PER
ELEC Electrical Alteration
Last Name, First, Middle Initial
rYROGER
LU
Z Address
Z City/State
3 646 STOVER RT FORT COLLINS.
0 Zip Phone No.
80525 419-8881
Front Setback Rear Setback
0
_Z Right Side Setback Left Side Setback
Z
� Plat File No. ZBA Case Number Zoning District
J Subdivision/PLID Filing
Q
wLot Block Lot Area Parcel No.
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95 Company Name rnnf—t— i �-- ni.,
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Address
City/State
ZZ
Phone
Supervisor Cert. No.
V
Electrical
License No.
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License No.
OMechanica
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Roofing
License No.
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Framing
License No.
0
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Plumbing
License No.
V)
Concrete
License No.
CHANGE OUT ELECTRICAL PANEL - NO SERVICE UPGRADE
BUILDING PERMIT
Building Valuation
B040110
� ACCOUNT
PERMIT DATE
J3, u-t 2f"(3-+ ai,uing reinril, ii/o Subs
RMIT LEVEL CATEGORY TYPE
ISSU FUL Residential City Sales/Ose Tax
Construction Type Occupancy Group
LU county Saic&/use tax
0 No. of Stories Building Height
0
V
Building Square Footage Stock Plan/Options
(See reverse side for Inspection Description)
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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 permit or from the date of the last inspection.
AAAuerA-0,- b-A001A �/w c-
Print name of owner/agent Signa rnfe � Date Ty O TOTAL FEES
FEE DATE PAID
$15.IV,11 ;,114104
$11.5 3/4/04
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IMP314/v4