HomeMy WebLinkAbout414 MAPLE ST - PERMITS - 3/24/2004Community Planning &Environmental Services BUILDING PERMITPERMIT
FEES
Building & Inspections Division
P.O. Box 580 281 N. College Ave.
Building Valuation
Fort Collins, CO 80522-0580�a
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City of Fort Collins phone (970) 221-6760 Fax (970) 224-6134 B 0 4 015 7
ACCOUNT
FEE
DATE PAID
JOB
SITE ADDRESS 41 A MAPLE ST
PERMIT DATE
Bulid'Mg Perm lIt, r/i; Subs
$15.0
24 0:
.- ; 1,J1_,-r
City Sales/Use Tax
n., him i
luvanty C SalesJuse lax
$4.5
$ i .2
3/24/04
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i 24 0»
PERMIT
TYPE
ELESER Electrical Service Change
PERMIT LEVEL
ISSU_FUL
CATEGORY TYPE
Residential
Last Name, First, Middle Initial
BURRILL,JIM
Construction Type 1
Occupancy Group
Z
Address
City/State
Wp No. of Stories
Building Height
3
1077 BANYON CT
LOVELAND, CO
01)
O
Zip Phone
No.
Building Square Footage Stock Plan/Options
sessa
503-1189
Front Setback Rear
Setback
Z_
Right Side Setback Left
Side Setback
• • •
Z
• •
0
Plat File No.
ZBA Case Number
Zoning District
(See reverse side for Inspection Description)
i i i v
Subdivision/PLID
Filing
a
wLot
Block
Lot Area
Parcel No.
n
OCompany
Name Contractor
License No.
Address City/State
Z
O
Phone
Supervisor Cert. No.
Electrical
License No.
BRIAN'C ELECTRICCO LC
i:'
d'
Mechanical
License No.
Roofing
License No.
F
OFraming
License No.
V
m
I Plumbing
License No.
to
Concrete
I License No.
NEW SERVICE TO HOUSE ON ALLEY FOR IRRIGATION! SYSTEM.
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.
Print name of o ner/agent Signature Dat4' TOTAL FEES
$20.