HomeMy WebLinkAbout721 Eastdale Dr - Permits/Gas - Log, Line, Pipe - 03/06/1996Community Planning & Environmental Services
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Building Permits &Inspections Division
P.O. Box 580
c ty of Fort Collins Fort Collins, CO 80522-0580
JOB SITE ADDRESS 721 EASTDALE DR
%VTOG/GAS LIGHTER wOON
WV91ft NTIAL U. zone
Subdivision PUD Filing
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'J Lot Rlock `°f}bi-18-006
JOHNSON HAROLD '
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3 "I°Y EASTDALE'DR °SORT COLLINS
0 IM LP 80524 Ph°°0116-7904
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4 S TAFT HILL RD city FT COLLINS
0 z�0526 416-0771 Sol. T.
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0960614 C\,4-A - MARCH 6, 1996
Asa 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 the requirements contained herein, and 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 information. This permit shall become null and void if
the work authorized by such permit is not commenced, suspended, abandoned, or not
inspected ^within 180 days/fr/{ott�m` the
/date
`ooff such permit.
Signofu>�W l`jC/" D°,e
BUILDING PERMIT
221-6769
LEFT
EE FAMILY DETACHED
L/FINAL
RMIT FLA
1033
OTC PERMIT ISS
SETBACKS
RFAR
RIGHT
FRONT
TO SCHEDULE INSPECTIONS
(See reverse side for Inspection Description)
GL I LG