HomeMy WebLinkAbout219 S Loomis Ave - Permits/Reroof - 11/01/2000Community Planning &Environmental Services BU I LD I N G PERMITPERMIT FEES
' Building & Inspections Division
P.O. Box 580 281 N. College Ave. Building Valuation $2,000.00
Fort Collins, CO 80522-0580 B0016637
citpofE phone (970) 221-6760 Fax (970) 224-6134
JOB SITE ADDRESS
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PERMIT DATE 11/Ull
PERMIT TYPE ROOF Pnofing.
PaRoofing
PERMIT LEVEL
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CATEGORY TYPE
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Last Name, First, Middle IndiaAMASON, CORMS
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V
Construction Type
Occupancy
Address 219 S LOOMIS AVE
City / State FORT WILLINS� CO
No. of Stories
Building He
Zip M21
Phone Nq566.Wj
Building Square Footage tock
Plan/opti
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Z
Right Side Setback Leff Side Setback
Z
• 1
NPlat
File No. ZBA Case Number Zoning District
(See reverse
ROO
J
Subdivision/PUD
Filing
Q
wLot
Block
Lot Area
Parcel No
Mechanical
License No.
V
Rooting
License No.
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Z
0
Framing
License No.
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v7
Plumbing
License No.
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ACCOUNT
elm Pliffirmill W01&
C y 3d"AH• Tsl
Qov11y 3 "Wus• Ties
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
desc^d 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
eve t that suance was based on incorrect or incomplete information. This permit shall become null and void if the work authorized by such permit is not
e suspended, abandoned or not inspected within 180 days from the date of such permit or from the date of the last inspection.
Print name of owner/agent 3 natl.r 1 ��� Date TOTAL FEES
FEE
DATE PAID
$32.50
11ro1 IrA
$30.00
11ro1
$6.00
11ro1