HomeMy WebLinkAbout906 Breakwater Dr - Permits/Addition or Alteration - 09/23/1981wale-cnvaen Flo.-AVpll BUILDING PERMIT NO.
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City of Fort Collins, Colord/7I(zo�� J �[i /jL-` 7 is hereby authorized to:
Date �/ 434 33 SS (name)
• Estimated Cost of _ ❑ Enlarge ❑ Erect ❑ Repair �,Nsemodel ❑ Demolish ❑ Move
Labor and Material ��C� Structure At _
Permit Fee ''�—' ADDRESS
•
Plan Check Fee 24V L-. Legal Description: Lot —Block —Subdivision
Work In Occ Group _Canst.Type ZoneDist.
Progress Fee Useof Bldg.
TOTAL DUE
Description of Authorized Work
Special
>
_
issuance ''
Conditions of _
CONTRACTOR'S STATEMENT: As the duly licensed contractor for the above work, I understand the limitations of said license at
responsibility foothe work authorized hereunder and further acknowledge that fraudulent use oFlending of such license to obtain perm
d ass n • 1
effor )W
contractor actually perform nirm g'the work, ma�be cause for revocation and other penalties,', Sec. 73,124 Municipal Code)
"..7 -- ), . Ir_ , , . >
">(Signature of Authorized Agent)
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This hoeintrit byimissuedon me in Oil ss neaonditionthat ic'm to r� -- J
work hereby authorizatl sM1all in all respects wnbrm to
the statements certified in the application for such Williatii E , Wald(j.t.
permit and that all work shall be done in accordance with
the ordinances of the City of Fort Collins and the laws of Chief BulldinglOfficial J by L'l
the State of Colorado. The granting of this permit does `
not give the authority to violate any of these regulations. PERMIT BECOMES'VOID IF AUTHOORR
IZED WORK IS NOT COMMENCED WITHIN 180 DAYS