HomeMy WebLinkAbout1115 Lopez Ct - Permits/Reroof - 08/16/2005Community Planning & Environmental Services PERMIT FEES
Building & Inspections Division BUILDING P E RM I T
P.O. Box 580 281 N. College Ave. Building Valuation
Fort Collins, CO 80522-0580
Citpof Fort Collins phone (970) 221-6760 Fax (970) 224-6134
B0504446 ACCOUNT FEE DATE'PAID
JOBSITE ADDRESS PERMIT DATE
1115 LOPEZCT 0 12 / IF, /:" C,a_ Building Pernit w/o Subs $32 51 8J16/05
PERMIT TYPE
PERMIT LEVEL
CATEGORY TYPE
ROOF Roofing - ReRoofin
ISSU FUL
Residenti
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City Sales/Use lax
$25.4
8/16/05
Last Name, First, Middle Initial
Construction Type
Occupancy Group
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County SaleS/Use ?ax
$2.5
8/16J05
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Address
City/State
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in No. of Stories
Building Height
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Zip - _ __I
Phone No.
O Building Square Footage
Stock Plan/Options
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Z_ Right Side Setback Left Side Setback
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NPlat File No. ZBA Case Number Zoning District
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wLot Block Lot Area Parcel No.
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OCompany Name Contractor License No.
QAddress I City/State
License No.
OMechanical
License No.
Roofing
License No.
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Framing
License No.
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Plumbing
License No.
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Concrete
License No.
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reverse side for Inspection Description)
TEAR OFF AND REROOF USING 19.91 SQUARES - TAXES ON MATERIAL COST $847.00
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.
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Print name of owner/agent Signature TOTAL FEE'
Date