HomeMy WebLinkAbout1057 Robertson St - Permits - 04/12/2001ahCommunity Planning & Environmental Services
Building & Inspections Division
P.O. Box 580 281 N. College Ave.
Fort Collins, CO 80522-0580
cStvofF phone (970) 221-6760 Fax (970) 224-6134
BUILDING PERMIT
17- Budding Valuation
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JOB SITE ADDRESS 1057 ROBERTSON ST
PERMITTYPE CIMALAD COM/IND/MlX-ALT/ADDITION PERMIT LEVEL ISSU_FUL
Last Name, First, Middle Initial Constructic
ce EGGLESTON, DALE K/MARY F
Z Address City / State p No. of Stod
1213 TEAKWOOD DR FORT COLLINS. CO O
Zip �2r5-1 � Phone No. �-9W Building Sqr
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04/ 12/2001 Plan Check Fee
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Parcel No.9713400020
ipany Name
Contractor License No.
GC WEST INC.
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4025 AUTOMATION WAY IF-4
City/State
FORT COLLINS 80525
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Supervisor Cart. No.
970-498-8508
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License No.
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REMODEL FOR CENTER FOR NEURO REHAB FOR THERAPY ROOMS.
REQUIRES BACKFLOW PREVENTER ON DOMESTICJOHN NELSON 221-6677
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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 null and void if the work authorized by such permit is not
commenced, suspended, abandoned or not inspected within 180 days from t e date of such permit or from the date of the last inspection.
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Print name o owner/agent Signatur Date
�'1 I11 11'
$154.1
3/28/01
1371.3
4/12101
$500.0
4/12/01
$t$0.0 °
4/1210t
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