HomeMy WebLinkAbout900 Driftwood Dr - Permits/Gas - Log, Line, Pipe - 04/29/2004Community Planning & Environmental Services PERMIT FEES
Building & Inspections Division BUILDING PERMIT
EO. Box 580 281 N. College Ave. Building valuation
Fort Collins, CO 80522-0580
Cityof�Collins Phone (970) 221-6760 Fax (970) 224-6134 B0402549
APC111i FEE DATE PAID
JOB SITE ADDRESS 900 DRIFTWOOD DR PERMIT DATE
04J29/2004 Building Permit w/o Subs $15.0 4/29/04
PERMITTYPE PERMIT LEVEL CATEGORYTYPE
GASLOG Gas Log - Gas Lighter ISSU_FUL Residential
Last Name, First, Middle Initial Construction Type Occupancy Group
WARD. ELDON P/JUDITH M
Z Address City/State 0 No. of Stories Building Height
WO DRIFTWOOD DR I FORT COLLINS, CO O
O Zip Phone No. 224-9451 Building Square Footage, Stock Plan/Options
80525-3106
rRightS.de Z
OtJ
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EPLACE WEST III INC
8 RIVERSIDE AVE
498 9679
Zoning District
0 I Parcel No. 9136105086
came No.
FC 1381
COLLINS, CO 80524
License No.
License No.
License No.
License No.
License No.
INSTALL GAS FIREPLACE AND GAS LINE
8
CL
reverse
:IrInspection
LC
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.
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Print name of owner/agent Sign t re Date
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