HomeMy WebLinkAbout4920 Mcmurry Ave - Permits/Reroof - 08/09/2004 (6)Community Planning & Environmental Services
Building & Inspections Division
i P.O. Box 580 281 N. College Ave.
Fort Collins, CO 80522-0580
City of Fort Collins phone (970) 221-6760 Fax (970) 224-6134
SITE ADDRESS
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Last Name, First, Middle Initial
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City
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2 Plat File No. ZBA Case Number Zoning District
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wLot Block Lot Area Parcel No.
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9' 1 Companv Name I cr,r,r—Mr I i—.. N„
Address
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License No.
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Mechanical
License No.
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Roofing
License No.
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ROOFING
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License No.
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Plumbing
License No.
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Concrete
License No.
TEAR OFF TO DECKING AND REROOF WITH 24 SQUARES
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BUILDING PERMIT
Building Valuation
B0405115 ACCOUNT
PERMIT DATE
CATEGORY TYPE
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Construction Type loc
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0 No. of Stories
0
Building Square
Building
4 Building Permit w/o Subs
Residential City Sales/Use Tax
Group
County Sales/Use Tax
Stock Plan/Options
(See reverse side for Inspection Description)
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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 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 from the date of the last inspection.
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Print n m�er/agent Signature Date .� TOTAL FEES
FEE I DATE PAID'
$38.50
8/9/04
$36.00
8/9/04
$9.60
8/9/04