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HomeMy WebLinkAbout1824 Broadview Pl - Permits/Reroof - 11/14/2006--I Community Planning &Environmental Services PERMIT FEES Building & Inspections Division BUILDING PERMIT �- P.O. Box 580 281 N. College Ave. Building valuation Fort Collins, CO 80522-0580 Cityof Fort Collins Phone (970) 221-6760 Fax (970) 224-6134 B0605333 ACCOUNT FEE A Yb JOB SITE ADDRESS PERMIT DATE �iui iii is"1'�It 'd o iu $i �. v�0 jij 14/0 PERMIT TYPE PERMIT LEVEL CATEGORY TYPE - 171, T 1 16 j 5a 1 es/Use lax R y L j r, i !i i . u l / i 41(0 Last Name, First, itial ch ype Occupancy Group w 3 Addres City/State wp Qounty Ja ies/Us2 'lax v . �0 i 4I No. of Stories Builtling Height Zip Phone No. •- ee O Building Square Footage Stock Plan/Options Front SAW1 Rear Setback Z Right Side Setback Leff Side Setback Plat File No. N ZBA Case Number Zoning District Subdivision/PUD Filing (See reverse side for Inspection Description) J in wLot Block Lot Area Parcel No. Name Contractor License OCompany Addres 1 City/State n OPhone Supervisor Cert. No. FORT u rCO 8e S V Electricd License No. OMechanical License No. Roofing License No. N OFraming(tl:Vt ROUl'I'llIG License No. r 764 V � Plumbing License No. N Concrete License No. iX 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, su ended, abandon or inspected within 180 days from the a of such per i r fr;fdate of the last inspection. � � "Ale©� Pfrnt na e o owner/agent signature Date TOTAL FEES