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HomeMy WebLinkAbout361 E Mountain Ave - Permits - 06/16/2003Community Planning &Environmental Services BUILDING gem Building & Inspections Division � � �� � H � 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 gi 0 3 0 3 6 1 1 ACCOUNT - FEE DATE PAID JOB SITE ADDRESS361 EMOUNTAINAVE PERMIT DATE 06/16/2003 hilding Permit w/o Subs ity Sales/Use Tax County Sales/Use Tax $38.50 $31.50 $8.40 6/1 '6/03 /t6/03 6/16/03 PERMITTYPE ROOF Roofing - ReRoofing PERMIT LEVEL ISSU_FUL CATEGORY TYPE Non Res Bldg Const Last Name, First, Middle Initial MOORE, KENNETH R/DEBRA Construction Type Occupancy Group I Z Address City/State p No. of Stories Building Height 3 2901 PLEASANT ACRES FORT COLLINS, CO O O Zip 80524 Phone No. V Building Square Footage Stock Plan/Options Front Setback Rear Setback 0 Z_ Right Side Setback Left Side Setback • �• Z 1`14Plat File No. ZBA Case Number Zoning District Subdivision/PUD Filing (See reverse side for Inspection Description) ROO - _ Q WLot J Block Lot Area O Parcel No. 9712316001 Name Contractor License No. OCompany Address City/State H Z O Phone Supervisor Cert. No. V Electrical License No. ad R Mechanical License No. Roofing License No. ROOF REPAIRS Framing R-1655 License No. ZO coPlumbing License No. h Concrete License No. TEAR OFF TO DECK ON PITCHED ROOF AREA ONLY, REROOF WITH 21 SQUARES OF CLASS A SHINGLES V 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 pe ' shall become null and void if the work authorized by such permit is not commenced, suspended, abandoned or inspected within 180 days from the da o uch permit or from the date of the last inspection. (e —i & `© > name of owner/agent Signature Date Print TOTAL FEES ` $78.40