HomeMy WebLinkAbout906 Breakwater Dr - Permits/Demolition - 08/18/2003Community Planning & Environmental Services
Agra Building & Inspections Division
P.O. Box 580 281 N. College Ave.
Fort Collins, CO 80522-0580
City of Fort Collins phone (970) 221-6760 Fax (970) 224-6134
JOB SITE ADDRESS906 BREAKWATER DR
PERMIT TYPE PERMIT
DEMO Demolition
Last Name, First, Middle Initial
oe EVANS, CHERYL A
Z Address City/State
> 906 BREAKWATER DR FORT COLLINS. CO
� Zip hone No P.
80525-3345 226-6074
Front Setback Rear Setback
Z Right Side Setback Left Side Setback
Z
Plat File No. ZBA Case Number Zoning District
Q ,y
WLot Block Lot Area Parcel No.
0 9736405012
OCompany Name Contractor License No.
Address City/State
F-
Z Phone I Runprvienr Cart Nn
pe
Mechanical
License No.
O
Roofing
License No.
H
Z
Framing
License No.
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Plumbing
License No.
N
Concrete
License No.
I8
BUILDING PERMIT
Building Valuation
B0305493 ACCOUNT
PERMIT DATE
ivivj i ,��'vC uiidl-q Pem,it W% Subs
.EVEL CATEGORY TYPE
ISSU_FUL Residential Remodel
Construction Type Occupancy Group
Wp No. of Stories Building Height
0
Building Square Footage I Stock Plan/Options
(See reverse side for Inspection Description)
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HOMEOWNER TO DEMOLISH HOUSE IN ORDER TO REBUILD A LARGER ONE.
As a condifion 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 date of such permit or from the date of the last inspection.
A& 8 1 A
Print name of owner/agent Signature Date TOTAL FEES
FEE I DATE PAID I
$15.00 1 8/29/03
$15.00