HomeMy WebLinkAbout820 N College Ave - Permits/Demolition - 05/18/2004Community Planning & Environmental Services
Building & Inspections Division
P.O. Box 580 281 N. College Ave.
City of Fort Collins Fort Collins, CO 80522-0580
Phone (970) 221-6760 Fax (970) 224-6134
JOB SITE ADDRESS WO NC
PERMIT TYPE
DEMO Demolition
Last Name, First, Middle Initial
CENTER I LC
w Address
3
O zip
t30525
Front Setback
U
_Z Right Side Setback
Z
NPlat File No. ZBA Case Number
Subdivision/PUD
a
wLot Block Lot Area
Company Name
GAddress
H
V
Z
Z
0
V
m
City/State
Left Side
Parcel No.
License No.
License No.
License No.
License No.
License No
BUILDING PERMIT
Building Valuation
B0403055 ACCOUNT
PERMIT DATE
O
V
CATEGORY TYPE
Ind
oor Recrea
Type Occupancy Group
Stock
(See reverse side for Inspection Description)
SLC FNB
INTERIOR DEMO TO INCLUDE NON-STRUCTURAL WALL REMOVAL, CARPET AND SEATING REMOVAL
`I'
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 be a null nd void if ►he work authorized by such permit is not
commenced, suspended, abandoned or inspected within 180 days
om the date o1,AV p rmlt o om the daW of the last inspection.
Pnn' t name of owner/adnt
g��
Building Penit w/ Subs
TOTAL FEES
FEE I DATE PAID I
$15.0p 5/18/041