HomeMy WebLinkAbout6214 Tilden St - Permits - 04/08/2004Community Planning & Environmental Services
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
OB SITE ADDRESS
RMIT TYPE
Last Name, First, Middle Initial
z Address
Z City/State
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O Zip I Phone No.
Z_ Right Side Setback
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2 Plat File No.
1319-3
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ZBA Case Number
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8050
Contractor License No.
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Supervisor Cert. No.
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License No.
BUILDING PERMIT
Building Valuation
60401338 ACCOUNT
PERMIT DATE
PERMIT LEVEL CATEGORY TYPE
ISSU FUL I Single Family
Construction Type Occupancy Grc
Wp No. of Stories Building Height
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Building Square Footage Stock Plan/Options
(See reverse side for Inspection Description)
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License No. /�M�� License No. TESTu n �►tiF
License No.
NEW SINGLE FAMILY RESIDENCE WITH 1548 SQ FT UNFINISHED BASEMENT
STOCK PLAN 1500 WITH OPTIONS 1,25 BLOWER DOOR TEST
JOB CONTACT - STEVE DELUTE FLC%A'D
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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 ays from the date of such permit or from the date of the last insp ion.
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Print name of owner/agent re Date TOTAL FEES
FEE
$1,L41.9
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DATE PAID
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