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1636 Birmingham Dr - Permits/Reroof - 06/21/2010
/,00.F�ort Collins Site Address 1636 BIRMINGHAM DR Job Valuation $2,200 00 Category Residential Owner JACKSON JASON T 1636 BIRMINGHAM DR FORT COLLINS CO 80526 Zoning Front setback Rear setback Community Development & Neighborhood Services 281 N College Ave Fort Collins CO 80522 970 221 6760 970 224 6134 fax Building Permit # B1003816 Issued Full 06/21/2010 Permit Type Residential Roofing Phone 219 7395 Right setback Left setback Minor Amend # Plat File # ZBA Case # Zoning district RL LOW DENSITY RESIDENTIAL DISTRICT Legal Subdivision/PUD Code Res sq ft # of stones Fire Sprklr Filing # Lot # Block # Ind sq ft Const Type _ Stock plan options Contractor PARTNERS ROOFING] F License # R 1272 228 LINCOLN CT #8 I 5 T C\� r FORT LINS CO 80524 n Phone 970 407 9007 Coin sq ft Occ Group Stock plan # Basement sq ft Supervisor cart # �Ju tJ Subcontractor(s)= -Phone © License Number Work Description TEAR OFF TO DECK AND REQ ATTIC VENTILATIONNOWN EMP—TO PR( 30 YEAR AMINATE SHI DE "SCHEDULE INSPECTIONS '' By Phone 221-6769 ' By Web http //aaweb fcgov com/CitizenAccess'* Ins ections RF TOTAL FEES PAID AS OF 06/21/10 38 50 Payment method Trust Account Asa oondibon for the issuance of a pemut, I hereby declare that I am the owneror owners agent, authorized to perform the proposed work on the property described herein I agree to comply with all the requirements contained herein and City ordinances and State laws assoaated with such work I understand that such permit may be revoked in the event that issuance was based on mooned iribmabon This permit shall become null and void d the work authorized by such pemut is not oonunenoed suspended abandoned or not inspected within 180 days from the date of such pemut Signatu Pnnt Name r ����5 Date 2l Forth Revised May z10