HomeMy WebLinkAbout1172 Cobblestone Ct - Permits/Gas - Log, Line, Pipe - 12/11/1997W
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Building Permits & Inspections Division
P.O. Box 580
Gtvof Fort Collins Fort Collins, CO 80522-0580
)B SITE ADDRESS 1172 COBBLESTONE CT
PfdMWANICAL WWYNATION
IAL
I PUD
10-013
ENS PAT
COBBLESTONE CT `SORT COLLINS
Z`P 80525 "°°° 726-6091
MIN FIRE, INC. c°"t'°`i'(-Cev!�2
W. LAPORTE AVE `I" FT COLLINS
1 Phone 484-8593 I SOBS T. h
BUILDING PERMIT
221-6769
ACCOUNT
FAMILY DETACHED
FNo. tD—Ilene Ursa rNo. of Bedrooms I No. of Bathrooms I Stock Pl.nr,fions I. TOTALFEES "� 1 J . CY®
IN GAS LINE AND INSTALLING GAS LOGS - RESIDENTIAL
t
11, 1997
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 the requirements contained herein, and City ordinances, and State
laws associated with such work. I understand that such permit maybe revoked in the event
that issuance was based on incorrect information. This permit shall become null and void if
the work authorized by such permit is not commenced, suspended, abandoned, or not
inspected within 180 days from the date of such permit. (�-y
afar. --h� D.I. /alit 1 —1 1
LEFT
SETBACKS
REAR
FROM
RIGHT
TO SCHEDULE INSPECTIONS
(See reverse side for Inspection Description)
GL I FNM I SPI
DEPARTMENT STATUS DATE il• 1 ' • r
OTC PERMIT ISS E' p� iV''
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