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HomeMy WebLinkAbout4961 Bluestem Ct - Permits/Basement Finish - 07/13/2004Community Planning & Environmental Services Building & Inspections Division BUILDING PE T IT PERMIT FEES P.O. Box 580 281 N. College Ave. Building Valuation Fort Collins CO 80522-0580 QXofFort eollns Phone (970) 221-6760 Fax (970) 224-6134 60403699- f9k JOB SITE ADDRESS 4981 BLUESTEM CT PERMIT DATE 07 1-3 2004 Plan {deck Fee City Sales/Use Tax 1« 1 'f, t" , 115.0 $245.0 $ , 6/10/04 7/12/04 7'/12 Q4 PERMIT TYPE BSMN'T' Basement Finish -Residential PERMIT LEVEL ISSU—FUL CATEGORY TYPE RasidwWal Remodel C iL Last Name, First, Middle Initial SE -GAY, ORM ITAL p 0 Construction Type Occupancy Group Address ESTEMCT City/State FORT COLLINS. CO No. of Stories Building Height Zip Phone No. Building Square Footage Stock Plan/Options Q V Front Setback Rear Setback `; Right Side Setback Left Side Setback (ZZ� Plat File No. ZBA Case Number Zoning District (See reverse side for Inspection Descril: RP RN CL nt J Subdivision/PUD Filing a IN FN8 FNE Lot Block Lot Area Parcel No. 0 601120011 F N P F N it S P I U G P F R FP 4' Company Name I Contractor License No. GAddress RE Phone 6 Mechanical License No. Roo ing License No. Framing License No. V Plumbing License No. N n.. ur.. ... ........... .....�-.... Crete I License No. BASEMENT FINISH TO INCLUDE SW SOFT, MAIN ROOM AND BATHROOM ©1 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. s ;_ Print name of owner/agent Signature `�" Dath �