HomeMy WebLinkAbout1612 Shenandoah Cir - Permits - 10/12/2001Community Planning & Environmental Services
Building & Inspections Division
P.O. Box 580 281 N. College Ave.
ah
.
Fort Collins, CO 80522-0580
Phone (970) 221-6760 Fax (970) 224-6134
JOB SITE APPRESS 1612 SHENANDOAH CIR
PEnMiTTYPE MECH Mechanical Alteration
Ias&KatMNddioNUSHARON P
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3
O
CR
No.
BUILDING PERMIT
Building Valuation
80106446
PORT COLLINS. CQ o
206-1739 V
L
31314004
INMtH. COLORADO AIR ILicense No' H_837 I
FUL
GL
reverse
FNH
RESIDENTIAL
ACCOUNT
As a 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 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 or incomplete information. This permit shall become ny.11 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 or from the date of the last inspection.
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F✓ cc ice. 3�r er,.1 rl f= — _ tcy t 2 _cam
Print n� owner/agent Signature Date TOTAL FEES
$3,013.00
FEE DATE PAID
t kq $15.00 0/12/01
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