HomeMy WebLinkAbout1014 Nightingale Dr - Permits - 08/06/2004Community Planning & Environmental Services
Building & Inspections Division
P.O. Box 580 281 N. College Ave.
Fort Collins, CO 80522-0580
cmro..�:� Phone (970) 221-6760 Fax (970) 224-6134
SITE ADDRESS
BUILDING PERMIT
Building Valuation
60403117 ACCOUNT
Last Name, First, Middle Initial
u.t No. of Stories Building
i Address Ciy/State O
V Building Square Footage Stock Plan/(
O Zp Phone No.
warn M� n1l1A 1M —
Right Side Setback Left Side Setback
(Z� 6 scription)
N Plat File No. ZBA Case Number Zoning District (See reverse side for Inspection De
Subdivision/PUD Filing SBF FNB SPI
�j Lot Block Lot Area Parcel No. F R
0
Company Name Contractor License No.
M I
O.
License No
AIR SEALING
GLicense
Roofing
No.
LIST
Z Fra
License No.CHECK
License No.
Plu
N
_
License No.
V.1L1Lt -
NEW SECONDARY (SHOP) BUILDING - STOCK PLAN # 1629 OPTION 3 - TO GO WITH (B0403115)
IFEES FOR THIS PERMIT ON B0403115
As 4A&Tion for the issuance of a permit, I hereby declare that 1 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 fro date of ch permit or from the date of the last inspection.
Print name of ownertagent Date