HomeMy WebLinkAbout211 Canyon Ave - Permits/Addition or Alteration - 01/13/1981 (2)WMIe-Chy Cle,k
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City of Fort Collins,,
Colorado
Date
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Estimated Cost of
Labor and Material
Permit Fee
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Plan Check Fee
Work In
Progress Fee
TOTAL DUE
Description c
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p/BUILDI"N%[G� �P��ERNI IT,NO. \
/1 hereby authorized to:
(name)
❑ Enlarge O Erect ❑ Repair ❑ Remodel ❑ Demolish ❑ Move
Structure At
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ADDRESS r'^ �� �`" tl lt,"V
Legal Description: Lot Block) Subdivision
Occ Group Const.Type ,_— Zone Dist
Useof Bldg. - i /; • t_ A'-- 1 I "'- / i�!•1_tll (
Special
Conditions of Issuance'
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CONTRACTOR'S STATEMENT: As the duly licensed contractor for the above work, 1 untlerstand the limitations of said license and assume all
responsibility for the work authorized hereunder and further acknowledge that fraudulent usetor (ending of such license to obtain permits for another
contractor actually performing the work, may be
cause for revocation and other penalties. (tSec.:73-124 Municipal Godley
•
(Contractor)
(Lic. No.} o a - : (Signature of Authorized Agent)/
This permit is issued on the express condah,othat the
work hereby authorized sM1all in all respects conform to
I
the statements certified in the application for such
William E. Waldo��
permit and that allwork snall be done in accordance with
-
iheordmances of the cay of Fort Collins and thelaws of
Chief Building Official by
the State of Colorado. The granting of this permit does'-
hotgive the authority tovlolate any of these regulations.
PERMIT BECOMES VOID IF AUTHORIZED WORN IS NOT COMMENCED WITHIN 180 DAYS