HomeMy WebLinkAbout1118 Spanish Oak Ct - Permits/Gas - Log, Line, Pipe - 10/09/2006Community Planning & Environmental Services BUILDING P E RM I T
Building & Inspections Division
P.O. Box 580 281 N. College Ave.
Building valuation
Fort Collins, CO 80522-0580
crtvofF Phone (970) 221-6760 Fax (970) 224-6134
B0604758
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ACCOUNT
FEE
DATE PAID
JOB
SITE ADDRESS
PERMIT DATE
1112
20
Building Permit w/o Sub
$15.
0 10/9/0
PERMIT
TYPE
PERMIT LEVEL
CATEGORY TYPE
1 C
I
Last Name, First, id a ni is
onSRucOon Type
Occupancy Group
Z
Addre '
City/State
p No. of Stories
Building Height
O
Q
Zip -
Phone No. ""'
226-6530
Building Square Footage
Stock Plan/Options
Front c
Rear Setback
Z
Right Side Setback
Left Side Setback
Z
• •
(See reverse side for Inspection Description)
GL LC
Plat File No. ZBA Case Number
Subdivision/PUD
Zoning District
Filing
Q
wLot
Block Lot Area Parcel No.
J
n11
Name Contractor License o.
OCompany
Q
Addre .STu ' in ru vu Sur ui Ciry/State
ZPhone'
uS PAWA ° Supervisor Cert. No. COLORADO t
V
4 nn
Electri I' " License No.
Mechanical
License No.
Roofing
License No.
OFraming
License No.
V
ul 'n
Plumbing
License No.
v7
Concrete
License No.
INSTALL GAS LOGS AND GAS LINE
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 s II become null and void it the work authorized by such permit is not
commenced,
suspended, abandoned or inspected within 180 days from the ate , such permit or from the date of the last inspection.
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TOTAL FEES
Sills
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Fame of own Sign ure ` Date
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