HomeMy WebLinkAbout764 Eastdale Dr - Permits/Furnace - 04/09/1996Community Planning & Environmental Services BUILDING PERMIT
Building Permits & Inspections Division
P.O. Box 580 22 -6769
Cityof Fort Collins _ Fort Collins, CO 8052?r0580
JOB SITE ADDRESS 164 EASTDALE DR
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No. of Dwelling Units I
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CATHY
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1485
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482-7520 � -
0961102--APRIL 9, 1996
As a condition for the issuance of a pe - , I hereby declare that I am an owner or the
owner's agent, authorized to perform t e 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 from the date of such permit.
ISignature - Data
E FAMILY DETACHED
1396
OTC PE
ISS
LEFT
SETBACKS
REAR
FRONT
RIGHT
TO SCHEDULE INSPECTIONS
(See reverse side for Inspection Description)
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