HomeMy WebLinkAbout719 Sandpiper Pt - Permits/Gas - Log, Line, Pipe - 06/22/2004Community Planning &Environmental Services
BUILDING
� � ��� �� PERMIT
PERMIT
FEES
Building & Inspections Division
P.O. Box 580 281 N. College Ave.
Building Valuation
Fort Collins, CO 80522-0580�
Cityof� coninsPhone (970) 221-6760 Fax (970) 224-6134
B0401025
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JOB SITE ADDRESS 719 SANDPIPER PT
PERMIT DATE 06/22/2004
hildiny llimit w/o Subs
$15.0
6/22/04
PERMIT TYPE
OASLOG Gn Log - Go Lighfier
.PERMIT LEVEL
ISSU_FIH.
CATEGORY TYPE
Address
719 SANDPIPER FIT
0 zip 80525-3111
Address
Prone
be
G
0
v
m
Q1
N
uu No. of Stories
FORT COLLINS. CO S
21 5J7i� Building Square Footage
ZBA Case Number Zoning District (See reverse
Piling GL
Block Lot Area 0 Parcel No. 9736105026
HOMEOWNER TO INSTALL GAS LINE AND STOVE
8
LG
As a condition for the issuance of a permit, I hereby declare that 1 am an owner or the owned agent, authorized to perform the proposed work on the property
described herein. I agree to comply with all City ordinances, and State laws octal !yAkh such work.I understand that such permit may be revoked in the
event that issuance was based on incorrect or incomplete information. This mit s become null and void If the work authorized by such permit is not
commenced, suspended, abandoned or inspected within 180 days from bate su permit or from the date of the last inspection.
Print name of owner/agent SigilIffure Date
4unty Sales/Use Tax
$e.00 6/22/04