HomeMy WebLinkAbout719 Brookhaven Ct - Permits/Addition or Alteration - 08/21/1981 (2)City of Fort Collins, CO
Estimated Cost oi
Labor and Materials <`=--�-�•
Permit Fee 1
Plan Check Fee f -
Work In
'..` Progress Fee
Street Oversizing r
Park Land Fee
Storm Drainage Fee
TOTAL DUE •�� �'7i/./.'
Description of Authorized Work'
Special Conditionsof Issuance
s" BUILDING PERMIT NO. 0856
Date lr ./ 1 /1/1
471 - -'%/ r li ' �� • is hereby authorized to:
(name)
❑ Enlarge ❑ Erect ❑ Repair ❑ Remodel ❑ Demolish
Structure At
ADDRESS ` / f •'F- c-L�.---�
Legal Description: Lot Bock Occ
Zone Dist. Subdivision
Use of Bldg.
CONTRACTOR'S STATEMENT: As the duty licensed contractorlfor the above work,, -I -understand the limitations of said li ense and assume all
responsibility for the work authorized hereunder and further acknowledge that freliddlenl or lending of such license to obt n perry tsi another
contractor actually performing the work, may be cause for revocation and other, penalties., (Sec. 73-124 Municipal
(Contractor) (Llc No.) _ t j5ignature of Authorized genij
This permit is issued on the express condition that the I 14� e n y t
work hereby authorized shall in all respects conform to
the statements certified in the application for such 3 — . •.!_, ,�
permit and that allwork shall be done inacconshrowith William E. -Waldo;.he ordinances of the City of Fort Collins and the laws of Chief Building Official - _, `� — F> � by e
the State of Colorado. The granting of this permit does t -i-
notgivetheauthoritytoviolateanyoftheseregulations. PERMIT BECOME&YOID'IF'AUTHORIZED WORKIS NOT COMMENCED WITHIN 180 DAYS
While - Sales Tax: Pink Counter, Yellow i Applicant: Green .Bldg inspection: Blte - Sales Tax