HomeMy WebLinkAbout900 Pioneer Ave - Permits/Reroof - 07/06/2005Community Planning &Environmental Services
Building & Inspections Division BUILDING P E RM I TPERMIT
FEES
P.O. Box 580 281 N. College Ave.
Building valuation
Fort Collins, CO 80522-0580 BOrJO3�262f��0.0�
CityofFort Collins
phone (970) 221-6760 Fax (970) 224-6134L-
ACCOUNT
FEE
DATE PAID
JOB
SITE ADDRESS 900 PIONEERAVE
PERMIT DATE U r t. U.l
bui I a Ind Perml t w o Subs
Sales/Use Tax
County Sales/USE Tax
$30.0
$8.O
1/6/05
%/6/05
PERMITTYPE
ROOF Roofing - ReRoo ing
PERMIT LEVEL _
CATEGORY TYPEResidentialCity
Las19TEN "cf ?AF#LEE
Construction Type
Occupancy Group
Q'
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Addr�21 21 ST ST city/stateGREELEY, CO
O
No. of Stories
Building Height
O
U
Zip 80634
Phone No. - -0204
Building Square Footago Stock Plan/Options
Front Setback
Rear Setback
ti
Z_
Right Side Setback Left
Side Setback
• • • •
Plat File No. ZBA Case Number Zoning District
(See reverse side for Inspection Description)
Subdivision/PUD Filing
ROC
J
Q
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Lot
J
Block Lot Area 0 Parcel No. 9714209001
Name Contractor License No.
OCompany
Address City/State
F—
Z
Phone Supervisor Cert. No.
U
Electrical License No.
O
Mechanical
License No.
t—
Roofjp®C K Y M T M R Jflf C T
V
License No. n S i 8
�
Z
Framing
License No.
U
co
Plumbing
License No.
N
Concrete
License No.
w
H
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 day om the a of such p mit or from the date of the last inspection.
Prlr
6 a�
name of owner/agent S g ature Date
TOTAL FEES