HomeMy WebLinkAbout1637 Larch St - Permits/Reroof - 03/31/2003Community Planning & Environmental Services
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0.1
Building & Inspections Division
(MOM
amP.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 ADDRESS 1637' u►RC ST
PERMIT TYPE PEF
ROOF Roofin - ReRoofin
Last Name, First, Middle Initial
w Address City/State
3
0 Zip Phone No.
W512 221-1672
Front Setback I Rear Setback
0
_Z
Right Side Setback
Left Side Setback
Z
Plat File No.
ZBA Case Number
Zoning District
Subdivision/PUD
Filing
J
Q
w
Lot
Block
Lot Area
Parcel No.
U
r
97
OCompany
Name
Contractor License No.
Address
City/State
H
OPhone
Supervisor Cert. No.
11
0711-99fi-1Ffi7
Electrical
License No.
Mechanical
License No.
O
Roofing
License No.
H
Z
Framing
License No.
V
Plumbing
License No.
N
Concrete
License No.
REROOF 22 W SQUARES
TAX BASED ON MATERIAL COST OF $ 567
BUILDING PERMIT
Building Valuation
80301388 ACCOUNT
PERMIT DATE
03 31 2003 Building Permit w/o Subs
.EVEL CATEGORY TYPE
ISSU FUL Residential City Sales/Use Tax
Construction Type Occupancy Group
County Sales/Use Tax
ONo. of Stories Building Height
V
Building Square Footage I Stock Plan/Options
(See reverse side for Inspection Description)
R00
FEE DATE PAID
$38.50 3/31/03
$25.20 3/31/03
$6.72 3/31/03
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
com ced, suspended, abandoned or inspected within 180 days fr the ate uch ermit or from the date of the last inspection.
�J 3
Print name of owner/agent Signa re DateI TOTAL FEES $70.42