HomeMy WebLinkAbout2837 Michener Dr - Permits - 12/16/2004Community Planning & Environmental Services
- Building & Inspections Division
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
JOB SITE ADDRESS
PERMIT TYPE PER
Last Name, First, idle Initial
LU
ROBERT
Add e s City/State
0 Zip Phone No
993-61 AS
Fronf SefdadkRear Setback
_Z
Right Side Setback Left Side Setback
Z
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Plat File No.
ZBA Case Number Zoning District
J
Subdivision/PUD
Filing
Lot Block
L.
Lot Area
Parcel No.
OCompany
Name
Contractor License No.
Address
City/State
f—
?
Phone Runarvisnr r`.nrt Air,
License No.
License No.
ceMechanical
Roofing
License No.
H
Z
Framing
License No.
U
cO
Plumbing
License No.
Concrete
License No.
18
BUILDING PERMIT
Building Valuation
B0407231 ACCOUNT
PERMIT DATE
Co-9i struction Type ' Occup'Jncy Grc
ONo. of Stories Building Height
V
Building Square Footage Stock Plan/Options
(See reverse side for Inspection Description)
SBF RP RM
CL IN FNB
FNE FNP FNM
FD SPI UCP
FR FP RE
HOMEOWNER TO BUILD ENCLOSED PATIO OVER EXISTING CONCRETE SLAB.
Plan Check Fee
Building Permit u/ Subs
City Sales/Use Tax
County Sales/Use Tax
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.
1308 JJAIY? 6 Y c�
Print name of owner/agent Signatu Date TOTAL FEES
E 7 DATE PAID
$60.1 ii/30/"u4
$124,812/16/04
also.D t2/1siO4
$4B,D 12/16/04