HomeMy WebLinkAbout3106 Cumberland Ct - Permits/Gas - Log, Line, Pipe - 09/02/2005Community 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 3106 CUMBERLAND CT
PERMIT TYPE PERMIT
GASLOG Gas Lag - Gas Lighter
Last Name, First, Middle Initial
STREIN, KURTIDEBORAH B
LU Address City/State
3106 CUMBERLAND CT FORT COLLINS, CO
0 ZIP Phone No.
80526-2746 223-2179
0
Z_ Right Side Setback
Z
Plat File No. ZBA Case Number
Left Side Setback
Zoning District
BUILDING PERMIT
Building Valuation
ACCOUNT FEE DA PAID
PERMIT DATE n!:. o.;l t I C.b Tu n k r1 r5
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LEVEL ISSU_FUL CATEGORY TYPE Residential
Construction Type Occupancy Group
p No. of Stories Building Height
Building Square Footage Stock Plan/Options
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L. Lot Block Lot Area Q Parcel No. {p� t c R a n
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Company Name runt—t-1 !.o.... u..
Address
W Mechanical
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Roofing
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Z Framing
U
SO Plumbing
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License
License No.
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License No.
License No.
License No.
INSTALL GAS LINE AND SERVICE VALVE
(See reverse side for Inspection Description)
1 Lu
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.
Print name of owner/agent
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