HomeMy WebLinkAbout1625 Lakeshore Dr - Permits/Furnace - 12/28/1993DEVELOPMENT SERVICES/BUILDING PERMITS & INSPECTIONS DIVISION I
j P.O. BOX 580, FORT COLLINS, CO 80522-0580
221-6769
City at o BUILDING PERMIT
JOB SITE ADDRESS 162S LAKESHORE DR
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LAKESHORE DR I
City FORT COLLINS
80525 Phone 123-7922
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E. LINCOLN City FT COLLINS
Phone 482-7620 1
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NACE REPLACEMENT
N° 09336SO 1 ra`mbfftEMBER 28, 1993
Separation
As a condition for the issuance of a permit, 1 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 may be 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.
INAL
ling Valuation
ACCOUNT
BLDG PERMIT FLAT
CITY SALES USE TA
TOTAL FEES
DEPARTMENT
1900
FEE DATE PAID
15.00
28.50
43.50
Options
STATUS
LEFT
No.
Electrical
SITE SETBACKS
REAR
FRONT
RIGHT
CALL 221-6769
TO SCHEDULE INSPECTIONS
(See reverse side for
Inspection Description)
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PR
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