HomeMy WebLinkAbout1201 Ponderosa Dr - Permits - 08/10/2004Community Planning &Environmental Services BUILDING
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Fi& Building & Inspections Division RM�1'
P.O. Box 580 281 N. College Ave. Building valuation
Ci!tya�FoxtCallins Fort Collins, CO 80522-0580
-- Phone (970) 221-6760 Fax (970) 224-6134 60405133
ACCOUNT
JOB SITE ADDRESS I "I • PERMIT DATE
Initial
( Right Si,
IV Plat File
Subdivis
w Lot
OG
O
O
INSTALL FURNACE
8
City/State
Phone No.
Rear Setback
Left Side Setback
ZBA Case Number Zonin,
Filing
Block I Lot Area Parcel
License No,
License No.
License No.
License No.
License No.
p No. of S
OBuilding
Footage
Building
[See reverse side for Inspection
CL FMM
Group
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.
name of owner/agent Signature Date