HomeMy WebLinkAbout121 S Taft Hill Rd - Permits - 11/04/2003Community Planning &Environmental Services BUILDING PERMIT'
PERMIT FEES
Building &Inspections Division
P.O. Box 580 281 N. College Ave.
Building valuation
Fort Collins, CO 80522-0580
$500.00
City of Fort Collins phone (970) 221-6760 Fax (970) 224-6134 B 0 3 0 7 2 2
ACCOUNT
FEE
DATE PAID
JOB
SITE ADDRESS 121 S TAFT HILL RD
PERMIT DATE1 1 /04 / 2'003
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Building Permit w/o Suss
$15. 0
11/4103
PERMIT
TYPE
PLUM Plumbing Alteration
PERMIT LEVEL
lSSU_FUL
CATEGORY TYPE
Residential
Last Name, First, Middle Initial
Construction Type
Occupancy Group
GLASS, TOM
Address
City/State
Wp No. of Stories
Building Height
Z
121 S TAFT HILL RD
FORT COLLINS, CO
O
U
Zip
80521
Phone No.
484-8782
Building Square Footage Stock Plan/Options
0
Front Setback
Rear Setback
Z
Z
Right Side Setback
Left Side Setback
(See reverse side for Inspection Description)
Plat File No.
ZBA Case Number
Zoning District
RP G I_ F N P
Subdivision/PUD
Filing
_
Q
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J
Lot
Block
Lot Area 0
Parcel No. 9709404001
OCompany
Name
Contractor License IN
F--
Ur
Address
I Citv/State
Phone
Electrical
Q.
Mechanical
License No.
O
H
URoofing
H
License No.
Z
Framing
License No.
0
U
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Plumbing
License No.
N
AA PLUMBING
MP 241
Concrete
License No.
REPAIR OR REPLACE APPROX 60 FT OF WATER LINE.
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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 inspected within 180 da he dat of such permit or from the date of the last inspection.
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Print name of owner/agent Signature Date TOTAL FEES
$1