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HomeMy WebLinkAbout3403 Apiatan Ct - Permits/Gas - Log, Line, Pipe - 09/23/2005Community Planning & Environmental Services Building & Inspections Division P.O. Box 580 281 N. College Ave. Fort Collins, CO 80522-0580 CityofFortCollins phone (970) 221-6760 Fax (970) 224-6134 JOB SITE ADDRESS 3403 APIATAN CT BUILDING PERMITPERMIT FEES Building Valuation B0505%8 $350.00 ACCOUNT FEE DATE PAID PERMIT DATE 09/23/2005 Building Permit w/o Subs $15.0 9/23/05 PERMIT TYPE PERMIT LEVEL CATEGORY TYPE PLUM Plumbing Alteration ISSU_FUL I Residential Last Name, First, Middle Initial Construction Type Occupancy Group loe WALZ, ARIS Z Address City/State LU p No. of Stories Building Height > 32M TOWN CENTER CT FORT COLUNS, CO O 0 Zip Phone No. Building Square Footage Stock Plan/Options W524 218-7163 c� Z Right Side Setback Z Plat File No. Address or mecnamc 0 Roofing H Z Framing U m Plumbing k=n Mn' 8 Left Side Setback ZBA Case Number 54 Block I Lot Area Contractor Licen City/State Supervisor Gert. No. License No. License No. License No. License No. License No. G. LLC License No. District 54 Parcel No. a 8830212054 RUN GAS UNE FROM WEST SIDE OF HOUSE TO FIREPIT ON PATIO (See reverse side for Inspection Description) RP CL FNP 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 fr he date of such permit or from the date of the last inspection. Print nffne of owner/agent Signature Date' City Sales/he,Tax $5.2 1 9/23/05' County Sales/Use Tax $1.4 9/23/05 TAL FEES 1$21.0