HomeMy WebLinkAbout523 W Magnolia St - Permits/Addition or Alteration - 04/13/2004Community Planning & Environmental Services PERMIT
Building & Inspections Division BUILDING P E RM IT
i P.O. Box 580 281 N. College Ave. Building valuation
Fort Collins, CO 80522-0580
City of Port Collins phone (970) 221-6760 Fax (970) 224-6134 B 0 4 010 4 0 2500.00
PERMIT DATE
ACCOUNT FEE DATE PAID
JOB SITE ADDRESS 523 1N MAGNOLIA ST 0•t j 1 i f 2004 801d in='am; L N/ cmis " t
PERMIT TYPE PERMIT LEVEL CATEGORY TYPE
MIN-ALT Minor Residential Alteration ISSU_FUL Residential Remodel City Sales/Use Tax $37.5 4/13/04
Last Name, First, Middle Initial Construction Type Occupancy Group
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SKAGGS, DONALD L 5N R-3 "aunty Sales/Use a� $10.0 4/1 J/C4
Z Address City/State W No. of Stories BuildingHei ht
3 PO BOX 270492 FORT COLLINS, CO O g
O ZipPhone No. V Building Square Footage Stock Plan/Options
80527 492. 223-7397 0
Front Setback Rear Setback
O
_Z Right Side Setback Left Side Setback • •
Z
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IV Plat File No. ZBA Case Number Zoning District (See reverse side for Inspection Description)
Q Subdivision/PUD Filing `.i n M
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wLot Block Lot Area Parcel No.
9711429Cp6 tiF. 1'M SDI
Company Name Contractor License No. u ri
Q nc
Address City/State �
F
ZPhone Supervisor Cert. No.
V
Electrical License No.
CiEAVEI'% 'I IL EL C T1..11 IC ME 261
OMechanical License No.
Roofing License No.
H
OFraming License No.
V
Plumbing License No.
N S NWATEI~ PLUMBING MC 73
Concrete License No.
ADD SHOWER STALL TO EXISTING BATHROOM WHERE WASHERIDRYER CURRENTLY LOCATED (WILL USE
STACKABLE WASHER/DRYER IN EXISTING SPACE)
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7< OWNER/AGENT AFFIDAVIT ON FILE - TEST ON FILE
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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
co menced, suspended, abandoned or inspected within 180 days froo a date of permit or from the date of the last inspection.
rent name of owner/a e
9 Signature Date TOTAL FEES $99.