HomeMy WebLinkAbout423 Tedmon Dr - Permits - 01/01/2000 (2)_ Community Planning & Environmental Services B
Building Permits & InspectiOns-Division
P.O. Box 580
City of F�� III Fort Collins, CO 80522-0580
JOB SITE Work Type
permit Type its; Ii
Use zone
W Proposed Use
d ;�`
PUD Filing
Subdivision
J
Q Subdivision/PUD
W Block Parcel No.
J,
W
Address
3
0
S1,'I
l
Zip IjYi y), i
a'
O
oq�pa t Nams
� 1n„�. 1FAi lNU ATf�
U
e2
Address
I',i,. `SCX fSi;
Y
ad
O
3
W
0
z
0
d
ce
v
N
W
1. Y1NI i
1V! A11U
Sales Tax No.
Z
4L
>1 f tiVJ(� �t(�1,.
Footage I No. of
UILDING PERMIT
llv)`)
221-6769
AM I Y it l A,;! I i )
mit Level
lNN
Valuation
i.)4 10
SETBACKS
REAR
LEFT 11
FRONT
Lot Area
RIGHT
: e,m nI ,n 7n
i 1 I Y SAt t 'S U' ;I. ` I E� . y htk'l 1 Plat File No.
('10LIN I Y bAl 6: T 7C 3.)ifi71 t
OB St. Parking
CALL 221-6769
1 TO SCHEDULE INSPECTIONS
(See reverse side for Inspection Description)
T�X-F
Permit Data
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 maybe 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.
Date
!Sr rIL. L��A--r 1�-'•' �
Mechanic -
I Plumbing
Rooting
Ni i1