HomeMy WebLinkAbout4324 Stoney Creek Dr - Permits - 12/29/2000 (2)ahCommunity Planning & Environmental Services
Building & Inspections Division
P.O. Box 580 281 N. College Ave.
Fort Collins, CO 80522-0580
CitvofF Phone (970) 221-6760 Fax (970) 224-6134
JOB SITE ADDRESS 4324 STONEY CREEK DR
PERMIT TYPE GASLOG Gas Log - Gas Lighter PE
Last Name, First, Middle Initial
LEBSACK, BRYAN L/VICKI D
Z Address City / State
3 Zip 4324 STONEY CREEK DR Phone No. FORT COLLINS, CO
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80525 229-0136
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REPLACE WEST II, INC
4 N COLLEGE AVE
0-498-9679
BUILDING PERMIIBuilding Valuation
0 1'"" - 8132301031
icerim
TG-1381
COLLINS, CO 80524
INSTAII GAS FIREPLACE
HOMEOWNER TO INSTALL FIREPLACE, FIREPLACE WEST TO INSTAII GAS LINE
B001 76B9 $ 1 , 500 . 00
ACCOUNT FEE DATE PAID
PERMITDATE 12/29/2000 Building Permit w/o Subs $15.0 12/29/00
ISSU_FUL CATEGORY TYPE RESIDENTIAL
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p No. of Stories Building Height ....
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Building Square Footage Stock Plan/Opfions
REQUIRED INSPECTIONS
(See reverse side for Inspection Description)
Gl LG
As a cdndition 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 th date of such permit or from the date of the last inspection.
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Print nallme of owner/agent S-igolture Dale
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