HomeMy WebLinkAbout3220 Mesa Verde St - Permits - 07/15/2003Community Planning & Environmental Services
a ` Building & Inspections Division BUILDING P E RM I T
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
B0304106 ACCOUNT FEE DATE PAID
JOB SITE ADDRESS3220
PERMIT DATE
MESA VERDE ST
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!an Check fee
PERMIT TYPE
PERMIT LEVEL
CATEGORY TYPE
BSMNT Basement Fin*sh-Residential
ISSU FUL
I Residential Remodel
uilding Permit w/ Subs
Last Name, First, Middle Initial
Construction Type
Occupancy Group
CK
ity Sales/Use Tax
Address
City/State
p No. of Stories
Building Height
3220MIF-RAVFRIDEST
FORT COLLINS CO
0
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ounty Sales/Use Tax
0
Zip
Phone No.
Building Sq"Footage Plan/Options4
Front Setback
Rear Setback
Z
Right Side Setback Left Side SetbackZ
'
2
Plat File No.
ZBA Case Number Zoning District
(See reverse side for Inspection Description)
RP R M G L
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Subdivision/PUD
Filing
WLot
IN F N 8 F N E
Block
Lot Area
Parcel No.
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0
8733218007
FNP FNM SPI
U G P F R FP
OCompany
Name
Contractor License No.
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RE
License No.
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Mechanical
License No.
0
Roofing
License No.
1—
ZO
Framing
License No.
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Plumbing
License No.
Concrete
License No.
BASEMENT FINISH - BEDROOM, BATHROOM, FAMILY ROOM
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HOMEOWNER AFFIDAVIT ON FILE
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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 SigNature Date TOTAL FEES
$15.00 1/1/03
$124A8 7/15/03
$180.00 7/15/03
$48.00 7/15/03