HomeMy WebLinkAbout204 1st St - Permits/Reroof - 07/27/2004Community Planning & Environmental Services I PERMIT FEES
Building & Inspections Division BUILDING PERMIT
i 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 60404785 I 1, i i lI
ACCOUNT FEE - DATE PAID
JOB SITE ADDRESS 204 1 ST ST PERMIT DATE PERMIT TYPE
07/27/2004 Building Permit w/o Subs $22.0( 7/27/04
PERMIT LEVEL CATEGORY TYPE - - - ------ - - - - --- - - -
ROOF %ofin - ReRoofin ISSU_FUL Residential City Sales/Use Tax _ $19.5(N 7/2.7/D_4
Last Name, First, Middle Initial Construction Type Occupancy Group I '
w JIMEN JULIEA County Sales/Ilse Tax I t; 9d 7/07/nA
Address
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State p No. of Stories Building Height �
3 204 1 ST ST FORT COLLINS, CO _ _ _ 0
O Zip V Building Square Footage Stock Plan/Options
80524-2402 224-5927 - - -
Front Setback Rear Setback
(D 11 - —
Z Right Side Setback Left Side Setback •
Z
0 Plat File No. ZBA Case Number Zoning District • , • •
fSee reverse side for inspection Description)
J Subdivision/PUD Filing IfDU
Q
J Lot Block Lot Area Parcel No. - - --
0 9712106021
w Company Name C- -- - - - ---
ontractor License No.
V - -
Address A City/State
ZO Phone Supervisor Cert. No.
V
Electrical License No.
OMechanical License No.
0
U Roofing - - - I ------ - ---
License No.
Z - - - ----- I - - -- O Framing License No.
V
--
m Plumbing
hLicense No.
Concrete License No.
LAYOVER 1 USING 13 SQUARES
HOMEOWNER FAMILY AND FRIENDS DOING WORK
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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 tha nrnparty
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 nat
- -------- ---- - ---------- 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 Signatur Date I TOTAL FEES �d� 7