HomeMy WebLinkAbout6513 E Trilby Rd - Permits - 08/12/2002Community Planning &Environmental Services
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BUILDING P E RM I T
PERMIT
FEES
d1w,14151IBuilding & Inspections Division
P.O. Box 580 281 N. College Ave.
Building Valuation
Fort Collins, CO 80522-0580
Collins
80205065
$150.00
ACCOUNT.
FEE
DATE PAID
Cityof Fort
phone (970) 221-6760 Fax (970) 224-6134
JOB SITE ADDRESS 6513 ETRILBY RD
PERMIT DATE g/ 12/2002
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Building Permit w/o Subs
City Sala/Use.. Tax
$15.0q
$2..2
8/f122/02
8/ 1 L./0.2
PERMITTYPE ELE-SPR Electric Sprinkler Cntri Clods
PERMIT LEVEL ISSU_FUL
CATEGORY TYPE
RESIDENTIAL
County Sales/Use Tax
$0.6
8/12/02
LastUese tWileInitial
l/
Construction Type
Occupancy Group
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w Add City/Slat 0No. of Stones Budding Height
3 =Y R. MEYER 2M W. EISENHOWER 0
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Zip 805M Phone No. 970-593-OSW Building Square Footage I Stock Plan/Options
0
Z_ Right Side Setback Left Side Setback
Z
Plat File No. I ZBA Case Number Zoning District
J
Q
wLot Block Lot Area 0 Parcel No.
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W Company Name Contractor License No.
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QAddress City/State
t—
Z Phone I Supervisor Cert. No.
CeUYLINE ELECTRIC
'y"....— ME-46
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Mechanical
License No.
R
H
F
Roofing
License No.
Z
Framing
License No.
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V
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Plumbing
License No.
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Concrete
1 License No.
(See reverse side for Inspection Description)
FNE EG
SUBDIVISION // CLOCKS LOCATED AT WESTCHASE AND TRILBY INTERSECTION
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 inspected within 180 days from the d f such permi r from the date of the last inspection.
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Print name of owner/agent Signature ___ Date