HomeMy WebLinkAbout912 E Pitkin St - Permits - 11/13/2000Community Planning Environmental Services g U I LD I N G PERMITPERMIT
FEES
Building &Inspections Division
P.O. Box 580 281 N. College Ave.
Buildinct Valuation :3 OOQ00
Fort Collins, CO 80522-0580 B00 j 6904
cievotF Phone (970) 221-6760 Fax (970) 224-6134
—,
ACCOUNT
FEE
DATE PAID
JOB SITE ADDRESS 912 EKMN ST Too
PERMITDATE 11M3/2000
9P8m*VV0fflub•
$15.00
1/13%2=
PERMIT TYPE GASLOG Gas LOg - Gn Ughter
PERMIT LEVEL W3U FIX
CATEGORY TYPE RESMNTb1L
Last Name, First, Middle Ipf(jat,_, MWE L, Ft
Construction Type
Occupancy Group
•
jAtltlress
Z
912 PrMN ST
City / State
FORT COWNS, CO
O No. of Stories
v
Building Height
O
Zip SOW
Phone No. 22"270
Building Square Foot §pe
V
Stock Plan/Options
Front Setback
Rear Setback
0
Z
Right Side Setback L0 Side Setback
Z
• •
Plat File No. ZBA Case Number zoning District
(See reverse side for Inspection Description)
c„nnnda,,,,mi �nI rolim,.
OL lei
0
�FWENDLY FIRE, W. I "`�"'� V Killn
i��
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.
do"
A r, r C1 +
Print name of owner/agent C-Signature Date TOTAL FEES