HomeMy WebLinkAbout304 Alpert Ave - Permits/Reroof - 04/19/2004Community Planning & Environmental Services
'Building & Inspections Division
- P.O. Box 580 281 N. College Ave.
Fort Collins, CO 80522-0580
Citvof Fort Collins phone (970) 221-6760 Fax (970) 224-6134
JOB SITE ADDRESS 304 ALPERT CT W
PERMITTYPE ROOF Roofing - ReRoofing PERMIT
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O Zip 80525 Phone No. 482.3873
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Plat File No.
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Roofin
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Parcel No.
Contractor License No.
Supervisor Cert. No.
City/State
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License No.
License No. 75
License No.
License No.
License No.
BUILDING PERMIT
Building Valuation
B04029234
ACCOUNT
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.EVEL ISSU_FUL CATEGORY TYPE Residential City Sales/Use Tax
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TEAR OFF AND REROOF USING 10 SQUARES (BACK OF HOME ONLY)
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Building Square Footage I Stock Plan/Options
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(See reverse side for Inspection Description)
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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 from the date of such permit or from the date of the last inspection.
Print name of owner/agent Signature Date I TOTAL FEES
$1,000.00
FEE I DATE PAID
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