HomeMy WebLinkAbout1841 Busch Ct - Permits/Reroof - 02/20/2004Community Planning &Environmental Services BUILDING P E RM I TPERMIT
FEES
Building & Inspections Division
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 ������
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ACCOUNT
FEE
DATE PAID
JOB
SITE ADDRESS
PERMIT DATE
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PERMIT
TYPE
PERMIT LEVEL
CATEGORY TYPE
ROOF Roofing - ReRoofin
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Residential
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City Sales/Use Tax
$35.4
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Last Name, First, Middle Initial
Construction Type
Occupancy Group
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Address
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No. of Stories
Building Height
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1841 SURCHIZI
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Zip
Phone No.
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5 5-15
484-6168
Front Setback
Rear Setback
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Right Side Setback Left Side Setback
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Plat File No. ZBA Case Number Zoning District
(See reverse side for Inspection Description)
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Subdivision/PUD
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Block
Lot Area
Parcel No.
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Company Name
Contractor License No.
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Electrical I License No.
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Mechanical
License No.
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Roofing
License No.
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Framing
License No.
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Plumbing
License No.
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Concrete
License No.
REMOVE AND REPLACE 28 1/3 SQUARES OF WOOD SHAKES WITH ASPHALT SHINGLES - TAX BASED ON
w1180 MATERIALS.
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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 days fro the d to of such permit or from the date of the last inspection.
Print name of owner/agent Sign tur Date TOTAL FEES