HomeMy WebLinkAbout1712 Lakeshore Dr - Permits/Reroof - 06/05/2001ghCommunity Planning & Environmental Services
Building & Inspections Division
P.O. Box 580 281 N. College Ave.
Fort Collins, CO 80522-0580
cftYoEF Phone (970) 221-6760 Fax (970) 224-6134
JOB SITE ADDRESS
PERMIT.TYPE ina - ReFlootina PERMIT
M
M
0 Fr
U
kn PI
W
H
Lot Area
OFING
INSTALL 15 N FELT AND NEW 40 YR LAMINATED SHINGLES.
BUILDING PERMIT
Building valuation
B0103344
$3,281.OQ
ACCOUNT
FEE
DATE PAID
PERMIT DAT9777577001 Bi
I I ding Perm l tl o -SuFs--
Sales/Use.. Tax
my Sales/Use Tax
$44. 0
$49.22
$13. 12
TO -I
6/5101.
6/5/01
CATEOORYTYPE RESIDENTIAL City
struceonType
occupancy croup
4 No. of stories Building Height
V
Building Square Foobge stock Plan/Options
(See reverse side for Inspection Description)
ROO
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 not inspected within 180 days from the date of suctth permit or from the date of the last inspection.
g� l 1
Print name of owner/agent SI atu a �Q D 'TM