HomeMy WebLinkAbout4407 Pipit Ct - Permits - 07/02/2003Community Planning & Environmental Services
Building & Inspections Division
fag P.O. Box 580 281 N. College Ave.
Fort Collins, CO 80522-0580
c5ty of Hart canine Phone (970) 221-6760 Fax (970) 224-6134
SITE ADDRESS4407
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File No.
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Phone No.
223-1987
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TEAR OFF AND REROOF WITH 18 2/3 SQUARES
TAX BASED ON MATERIAL COST OF $432
Parcel No.
BUILDING PERMIT ram'
Bulldmg valuchon
B0304033
Type
(See reverse
R00
J ACCOUNT
r2003 Wilding Permit w/o Subs
Residential itp Sales/Use Tax
,.up
aunty Sales/Use tax
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. 1 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 tla h permit or from the date of the last inspection.
r - d i 7/3/.4 5 TOTAL FEES
Print name of owner/agent Signature _ Date'
FEE
$31.00
$12.96
$3.46
$47.42
DATE PAID
1/2/03
7/2/03
1/2/03