HomeMy WebLinkAbout1719 Corkwood Ct - Permits/Gas - Log, Line, Pipe - 11/14/2002Community Planning & Environmental Services
� vvw Building & Inspections Division BUILDING P E RM I T
PERMIT FEES
�i P.O. Box 580 281 N. College Ave.
Building valuation
Fort Collins, CO 80522-0580
City of Fort Collins
phone (970) 221-6760 Fax (970) 224-6134 B 0 2 0 6 9 4 2•
ACCOUNT
FEE
DATE PAID
JOB
SITE ADDRESS 1719 CORKWOOD CT
PERMIT DATE 11/14/2002
Building Permit
a $15.0
1/14/02
PERMITTYPE
GASLOG Gas IN _ Gas U9hter
PERMIT LEVEL ISSU_FUL
CATEGORY TYPE Residential
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Construction Type
Occupancy Group
W
3 Z
O
Addr
��19 CORKWOOD CT
City/StateFORT COLLINS, CO
No. of Stories 0
Building Height 0
U
Zip 80525-2936 Phone
No. 226-6010
Building Square Footage Stock Plan/Options
0
Front Setback Rear
Setback
Z_
Z
Right Side Setback Left
Side Setback
• • •
o
e
Plat File No. ZBA Case Number Zoning District
Subdivision/PUD Filing
(See reverse side for Inspection Description)
GL LG
J
W
J
Lot Block Lot Area 0 Parcel "8730407310
Comgan_�Nam WEST I I INC Contractor License NjG_1381
O
,
Addrgs 08 RIVERSIDE AVE
cityftT COLLINS, C 80524
Z
O
Pho Supervisor Cert. No.
'970-498-9679
Electrical License No.
W
Mechanical
License No.
Roofing
License No.
H
License No.
OFraming
U
SO
Plumbing
License No.
N
Concrete
License No.
INSTALL GAS INSERT
6v,
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 all become null and void if the work authorized by such permit is not
commennact,
suspe abandone or inspected within 180 days from the da o such pe it or from the date of the last inspection.
C ` /
nam f owner/agent Sign Date
Print
TOTAL FEES
$15