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HomeMy WebLinkAbout2112 Essex Ct - Permits/Reroof - 01/14/2000I Community Planning & Environmental Services g U 1 LD i N G P MITPERMIT Building &Inspections Division P.O. Box 580 281 N, College Ave. FEES Building valuation $1,560.00 Fort Collins, CO 80522-0580 50010181 City of Port C.olnns phone (970) 221-6760 Fax (970) 224-6134 / ACCOUNT FEE DATE PAID JOB SITE ADDRESS 2112 ESSEX CT FrOO PERMIT DATE 01114Pl000 Sukling Prmrdt WO/SuW s28.so mnvmoo PERMIT TYPE ROOF Roolin8-R•�a�9 PERMIT LEVEL fSSU FUL CATEGORY TYPE SdwR1•r Tar S•IeslUse Tme---56.28 -t28.A0 G111Ii2o0o -01,11d120GCi- Z 3 0 Last Name, First, Mode Initial BURNS, MORRIS U/FRANCES J Construction Type Occupancy Group Address 2112 ESSEX CT city / S"WT COLLINS, CO 0 No. of Stories 0 Building Height Zip 80528.1815 Phone No. Builtling Sq are Footage 0 Stock Plao/Optlons — — 0 _Z Z Front Setback Rear Setback • NS CALL • • EC • (See reverse side for Inspection Description Right Side Setback Lett Sale Seback Plat File No. ZBA Case Number Zoning District �. SubtlivisioNPUo Filing ROO SPI Q w Lot Block Lot Area 0 Parcel N87=18081 o pany Nam. Contractor License N OCom Address City/State OPhone U Supervisor Cert. No. Electrical License No. GMechanical License No. m R License NrR-11$1 i Framing License No. Plumbing License No. `~ 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 ermit shall become null and void if the work authorized by such permit is not commenced, suspended, abandoned or not inspected within 180 days from date such permit or from the date of the last inspection. i-�ow��,'ivC{ A � n1 SSA -Ik - �-� / — l r TOTAL FEES Print name of owner/agent Signature Date