HomeMy WebLinkAbout624 SMITH ST - PERMITS - 11/4/2004Community Planning &Environmental Services BUILDING
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Building & Inspections Division
P.O. Box 580 281 N. College Ave. Building valuation
Fort Collins, CO 80522-0580 $1 3pp pp
icaitayeafPhone (970) 221-6760 Fax (970) 224-6134 80406822
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JOB SITE ADDRESS 624 SMITHST PERMIT DATE 1 1/04/2004 �kiIdiot Pemit W/o Subs �> $15.00 11/4/04
PERMIT TYPE PERMIT LEVEL CATEGORY TYPE I'
ELESER Electrical Service Change ISSU_FUL RtsidefWa1 i# € 3` 11/4/4
ZAdd •• • • , Ciry/Ste p No. of Stories
3 4 SMITH ST Pow COLLIN5, CO p
Zip SM21 Phone No. 481-8710 V Building Square Footage
Front Setback Rear Setback
Right Side Setback Left Side Setback
f:f Plat File No. ZBA Case Number Zoning District (See reverse side
Subdi%ision/PUD Filing F N E
21
Lot Block Lot Area 0 Parcel No.
I
6 Mechanic
F Roofing
6 Framing
V
m Plumbing
N
INCREASE AMPS FROM 30 TO 100
81
HE 914
License No.
EC
rccupancyGroup �Camty Sales/Use Tax
Building Height
* Plan/Options
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 kdate f such permit or m the date of the last inspection.
A Le-�c E' /aIL l l AR Z a G� l[ 0 6
Print name of owner/agent Signature Date
$5.201 11/4/04 1
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