HomeMy WebLinkAbout2111 W Lake St - Permits/Gas - Log, Line, Pipe - 12/03/1991DEVELOPMENT SERVICES/BUILDING PERMITS & INSPECTIONS DIVISION
P.O. BOX 580, FORT COLLINS, CO 80522-0580
221-6769
tvo BUILDING PERMIT
JOB SITE ADDRESS 2111 W LAKE ST
Pe90"I-OG/GAS LIGHTER
up P`RV19YVENTIAL
Subdivision PUD
Q Subtlroisian/PUD
0
Lot Block
`TURNER Ron JOSEPH
3 "tl2iil W LAKE ST
Sta,T;O Z'P 80521
CVR1`tI!`eWATER PLUMBING
u
Filing
164-40-030
FT COLLINS
A A 1717 MCCALLISTER "'v FT COLLINS
c Z, 80521 Phone 221-0905 SaleaTa22%2427
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Case
Case
"°.0913423 1--DECEMBER 3, 1991
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 may be
revoked in the event that issuance was based on incorrect information.
t
LE FAMILY DETACHED
/FINAL
ACCOUNT
BLDG PERMIT FLAT
CITY SALES USE TA
TOTAL FEES
DEPARTMENT
350
FEE DATE PAID
1S.00 91120:
0.00 911=
LEFT
Area
REAR
FRONT
RIGHT
CALL 221-6769
TO SCHEDULE INSPECTIONS
(See reverse side for
Inspection Description)
15.00 GL LB
OPLI00a "J
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