HomeMy WebLinkAbout304 S Impala Dr - Permits/Reroof - 12/29/1993DEVELOPMENT SERVICES/BUILDING PERMITS & INSPECTIONS DIVISION
P.O. BOX 580, FORT COLLINS, CO 80522-0580
6 221-6769
tye �iB BUILDING PERMIT
JOB SITE ADDRESS 304 S IMPALA OR
F,I Permit Tye i Mrk Tyne Cate ry Typ
ALTERATION �ingYe Family Detached
P,�, SIDENTIAL usaZnne Pem9
6t /FINAL
Subdivision n PUD n I Filing
FT COLLINS HOUSING
Address5 W MOUNTAIN AVE cay FORT COLLINS
stateCO Lp 80521 Phone No.
WAIF CONSTRUCTION c� `BCtwu§eni�i
Ad�1t YOUNGS GLUCH City BELLVUE
Zip 80512 Phone 493-7472 Sales Tax No.
Construction Typa I Occupancy Group Fire Sr
ACCOUNT
BLDG PERMIT NON S
CITY SALES USE TA
900
FEE DATE PAID
0.,00
0.00
........
I�.,,.;��.U��s L,�.,p. I TOTAL FEES 0. QQ
a
Occupant Load
a
No. of Dwelling Ui
O
2
F
'§E—ROOF
a
e
u
N
w
Occupancy Separation Area Separation
of Bedrooms IN.. of Bathrooms Fireplace/Stoves Ittasemert
No. 0933674 I(Yb,—,, I'VEEMBER 29, 1993
As a condition for the issuance of a permit, 1 hereby declare that I am an owner
or the owner's agent, authorized to perform the proposed work on the property
described herein. 1 agree to comply with all the requirements contained herein,
and 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
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.
DEPARTMENT
Fire Containment
LEFT
REAR
FRONT
RIGHT
CALL 221-6769
TO SCHEDULE INSPECTIONS
(See reverse side for
Inspection Description)
RF
FILE.