HomeMy WebLinkAbout4437 Rosecrown Ct - Permits - 04/22/2004Community Planning &Environmental Services
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Building & Inspections Division BUILDING PERMIT
PERMIT FEES
- 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 B 0 4 0 ` 3 7 4
1 ' 95.00
ACCOUNT
FEE
DATE PAID
JOB
SITE ADDRESS 4437 RUSECRO�NN CT
PERMIT DATE
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PERMIT
TYPE
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PERMIT LEVEL
MECH Mechanical Alteration !SSU_FU!_
CATEGORY TYPE
Residential
Last Name, First, Middle Initial
K!NZ & CO.
Construction Type
Occupancy Group
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Address
3
City/StateLoup
4006 CLEVELAND AVE WELLINGTCN, CO
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No. of Stories
Building Height
Zip 80549 Phone No.
568-3600
O
V
Building Square Footage Stock Plan/Options
Front Setback Rear Setback
0
O
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Z_
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Right Side Setback Left Side Setback
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Plat File No. ZBA Case Number Zoning District
Subdivision/PUD Filing
(See reverse side for Inspection Description)
G C u
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wLot
Block Lot Area Parcel No.
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Company Name Contractor License No.
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Address City/State
H
ZPhone
Supervisor Cert. No.
U
Electrical License No.
0::
O
V
Mechanical
VuTri n EDGESHEETW:1^L
License No.
lii G
Roofing
License No.
H
Z
0
Framing
License No.
Plumbing
License No.
N
Concrete
License No.
FURNACE CHANGECUT
As a
described
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
herein. I agree to comply with all City ordinances, and State laws
event
associated with such work. I understand that such permit may be revoked in the
that issuance was based on incorrect or incomplete information. This permit shall become null and void if the work authorized by
commenced,
such permit is not
suspended, abandoned or inspected within 180 days from the date of such permit or from the date of the last inspection.
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S,.� , LIAB (- 2Z -D L-/
name of owner/agent Signature" Date
Print
TOTAL FEES
$�5.