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449 Flagler Rd - Permits/Basement Finish - 02/10/2006
Community 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 City of Fort Collins phone (970) 221-6760 Fax (970) 224-6134 B0600624 ACCOUNT FEE DATE PAID OBSITE ADDRESS PERMIT DATE 449 FLAGLERRD 02 10 2006 Building Permit a/ Subs $124. 8 2/10/0 :RMIT TYPE PERMIT LEVEL CATEGORY TYPE BSMNT Basement Finish -Residential ISSU_FUL Residential Remo(Je Plan theck Fee sm- 02/10/0 Last Name, First, Middle Initial 0x w Address City/StateUj Q No. of Stories Building Height FORT COLLINS CO O Zip 80525 Phone No. 282-9777 Building Square Footage n I Stock Plan/Options Front Setback Rear Setback 0 , • Z • • • • Right Side Setback Left Side Setback Z Plat File No. ZBA Case Number Zoning District (See reverse side for Inspection Description) R P R M G L J Subdivision/PUD Filing wLot Block Lot Area Parcel No. 9614107175 F N P F N M S P I U C P F R F P OCompany Name Contractor License No. G AM- RE Phone nical echa License No. .e Roofing License No. Framing O License No. V Plumbing License No. kn Concrete License No. BASEMENT FINISH - REC ROOM AND BATHROOM HOMEOWNER AFFIDAVIT ON FILE City Sales/Use Tax $175. 2 2/10/0 County Sales/Use Tax $46. 0' 2/10/0 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 the date of such permit or from the date of the last inspection. � � � k aIcn(©� Print name of owner/agent Signature Date '-- TOTAL FEES