HomeMy WebLinkAbout736 Kimball Rd - Permits/Reroof - 06/29/1994DEVELOPMENT SERVICES/BUILDING PERMITS & INSPECTIONS DIVISION
P.O. BOX 580, FORT COLLINS, CO 80522-0580
221-6769
BUILDING PERMIT
JOB SITE ADDRESS
H Permit Type Wbr T ` Category Type
w Pr' aced 1 Us 11
a
PERMIT FEES
r ^Subdivision PUD Filing
Q Subtlivision/PUD 90ding V.Wo.
w _
J Lot Brock Parcel No ACCOUNT FEE DATE PAID
Last First M.I.
z Ad ra'ss c;ry $LO6 PERMIT NON S 27.50
CITY SALES USE TA 15.00
St. a ZIP Phone No. `
ttt Cam Name Contras^rise
O
GAddress city State - - - - - - - - - - -
_
ZO Zip Phone Sales Tax No.
Building Square Footage INo of Stories 'I Bldg. Height I TOTAL FEES I I I
Separation
RE ROOF APPROX. 20 SQUARES.
f
1 No. , Perrrui ease
Separation
-VTYL TO..rvria.
As a conditi,.T fo the issuance of a permit, 1 hereby declare that I am an owner
or the ownef s agent, authorized to perform the proposed work on the property
describe& rein. I agree to comply with all the requirements contained herein,
and City 4Wdinances, 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 from the date of such permit. .
Stock Plan
DEPARTMENT , STATUS ' DATE ,
OTC PERM
IT ISS �E
LEFT
SITE SETBAC
REAR
FRONT
RIGHT
CALL 221-6769
TO SCHEDULE INSPECTIONS
(See reverse side for
Inspection Description)
511
HH E U4
HH 6404
,MST $1i .
AMTDUE $32,10
rwrrk, $32,50