HomeMy WebLinkAbout7401 Streamside Dr - Permits - 09/23/2004Community Planning & Environmental Services BUILDING
Building & Inspections Division
P.O. Box 580 281 N. College Ave.
Fort Collins, CO 80522-0580
UK ofF� Phone (970)) 221-6760 Fax (970) 224-6134 80406007
JOB SM ADDRESS 7401 STREAMSIDE DR I
PERMIT DATE
PERMIT TYPE PERMIT LEVEL cATEGORYTYP
Primp Re>�ir�n _ RAaRrusflnn L�SI I i='111
W
Address
7401
O zip
8t'J521
(� Front Setbac
ZnZ Right Side S
t�l Plat File No.
SubdivisioN
Lot
Phone
Case Number
License No,
License No.
TEAR OFF AND FEROOF USING 34 SQUARES
'E
0
0
See reverse
R00
PERMIT
7RuildingValuation
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. t 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, abandon;?Z;
'within 180 days from the date of such permi r from the date of the last inspection.
t1 "/",
rint name of owner/agent SI ature Date
g Penit w/o
Sales/Use Tax
44.5
9/Y23/0ga4
13.6
9/23/04