HomeMy WebLinkAbout200 Allen St - Permits/Reroof - 11/08/2006F— PERMIT FEES
Community Planning &Environmental Services BUILDING PERMITBuilding & Inspections Division
�- P.O. Box 580 281 N. College Ave. Building Valuation
Fort Collins, CO 80522-0580 nn
City of Fort Collins „
.� Phone (970) 221-6760 Fax (970) 224-6134 B 0 6 a 5 1 5 4
ACCOUNT FEE DATE PAID
SITE ADDRESS
TYPE
LEVEL
Last Name, First, Middle Initial
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Building Square Footage
Stock Plan/Options
Front Setback
Rear Setback
REOUIRED INSPECTIONS
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Right Side Setback
Left Side Setback
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Plat File No.
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Zoning District
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Plumbing
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REMOVE EXISTING ROOF AND REROOF WITH 35 SQUARES OF NEW SHINGLES.
BuiCirg Permit w/o
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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 inspected within 180 days from t e date of such 9mit or from the date of the last inspection.
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Print name of owner/agent Signature Date TOTAL FEES
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