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HomeMy WebLinkAbout105 W Mountain Ave - Permits/Addition or Alteration - 11/07/2000Planning &Environmental Services BUILDING PERMIT Building &Inspections Division �+ PERMIT FEES 6aCommunity P.O. Box 580 281 N. College Ave. Building valuation $15,000.00 Fort Collins, CO 80522-0580 80016551 ctYofF phone (970) 221-6760 Fax (970) 224-6134 ACCOUNT FEE DATE PAID JOB SITE ADDRESS 105 WMOUNTAIN AVE FTCO PERMIT DATE 11/07i2000 Buiidiing�PeenitW/Subs *'7 "'�"�`^� av �`^n Ta Cow*jfs'aiew"Tax $149.18 W5.00 ii���� $180.00 1107rAW 1b712000 1/07/2000 PERMIT TYPE gMALAD OOM/IND/MDC-ALT/ADDITION PERMIT LEVEL �� CATEGORYTYPE q�gIL��ggL�� Last Name, First, Middle Initial KAPLAN COMPANY INC Construction Type Occupancy Group ce Z 3 p No. of Stories o Building Height Address 10W LORS REEF SAI City / State C�UNB O Zip Phone No. Building Square Footage Stock Plan/Options O Z Z O N Of O Z Z O V m h NDOETOP BUYMM 4520 SHORELINE OR 05 9% Supe ;al RNERVEW ELECTRIC nical LAND MECHANICAL ,actor License No. D,21 hate FORT COLLMIS, CO 604-D1 :ense No. ME-lW :ense No. H-150 _AM PLLIMBING-RENOVATIONS IMP-W REMODEL EXISTING SPACE FOR RETAIL USE'TEA TABLE" IJee reverse sloe for Inspection vescnprfoi 813F RP Rill GL IN Fill FNE FNP FNMA LIGE FD SP1 LKW SWR WT'R FR AW HA11 RE 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 such permit or from the date of the last inspection. 9�c,k EWIFny 12ea !/ - 7- 00 — Print name of owner/agent Signature Date TOTAL. FEES $434.18