HomeMy WebLinkAbout625 Marigold Ln - Permits/Reroof - 06/08/2004Community Planning & Environmental Services
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Building & Inspections Division BUILDING PER IT
PERMIT FEES
P.O. Box 580 281 N. College Ave.
Building Valuation
Fort Collins, CO 80522-0580
cityofFoitGoll ns Phone (970) 221-6760 Fax (970) 224-6134
130403641
�PA1'� PAID,
JOB SITE ADDRESS I ']� MARIGOLLl3 LEI
PERMIT DATE
PERMIT TYPE
06/08/2004
Buildiol Remit w/o Subs
$28.0
6/8/04
ROOF Roofs - Rung
PERMIT LEVEL
ISSU_FUL
CATEGORY TYPE
Rosidontia:l
Last Name, First, Middle Initial
MI JAMES WIVALOFUE J
Construction Type
Occupancy Group
LU
S77
V
Address
City/State
FORT COLUNS, 00
p
0
No. of Stories
Building Height
Zip 0526" =%
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Phone No. p',
%
V
Building -Square Footage Stock Plan/Options
Front Setback
Rear Setback
Z
Z
Right Side Setback
g Left
Side Setback
4.;
Plat File No.
ZBA Casa Number
Zoning District
(See reverse side for Inspection Description)
Q
Subdivision/PUD
Filing
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wLot
Block Lot Area
Parcel No.
0
9735312025
4'
Company Name
Contractor License No.
Address
City/State
0
Phone Supervisor Cert. No.
V
Electrical
License No.
p�
Mechanical
License No.
Roofing
License No.
FRS 900FIN
Framing
License No.
V
Plumbing
License No.
kn
Concrete
License No.
REMOVE EXISTING ROOF AND INSTALL 12 SQUARES OF HERITAGE 30 YR SHINGLES.
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