HomeMy WebLinkAbout925 Sitka St - Permits - 07/27/2004Community Planning & Environmental Services
Building & Inspections Division BUILDING PERMIT
PERMIT FEES
P.O. Box 580 281 N. College Ave.
Building Valuotion
Fort Collins, CO 80522-0580
GfiyofFori ConinsPhone (970) 221-6760 Fax (970) 224-6134
B0404791
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JOB SITE ADDRESS SITKAS"T
PERMIT DATE
PERMIT TYPE
07 27 2004
Bufldini, Penit w/o Subs
$15.0
7127/04
MEC H Medtanic;i Al ion
PERMIT LEVEL
ISSU_FUL
CATEGORY TYPE
R+ idan#ial
Last Name, First, Middle Initial
Construction Type
Occupancy Group
.
DC
W
Address
City/State
Wp
No. of Stories
Building Height
FORT COWNS Q0
o
U
Zip
i1M4-21
Phone No.
416-SM
V
Building Square Footage Stock Plan/options
Front Setback
Rear Setback
Z
Z
Right Side Setback Left
Side Setback
Plat File Na
ZBA Case Number
Zoning District
(See reverse side for Inspection Description)
Subdivision/PUD
Filing
GL f NM
Lot
Block
Lot Area
Parcel No.
O
Company Name
Contractor License No.
Address
City/State
0
Phone
Supervisor Cert. No.
V
Electrical
License No.
ME 407
Mec arncal
License No.
Roofing
License No.
Framing
License No.
V
Plumbing
License No.
kn
Concrete
License No.
ADD EVAP COOLER
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.
Print name of owner/agent Signature Date: