HomeMy WebLinkAbout213 E LAKE ST - PERMITS - 2/19/1993DEVELOPMENT SERVICES/BUILDING PERMITS & INSPECTIONS DIVISION
P.O. BOX 580, FORT COLLINS, CO 80522-0580
221-6769
BUILDING PERMIT
JOB SITE ADDRESS
F Permit TYPa Nbrk Type Category TVPe
NGLE FAM LY QE A HED
1 Proposed Use Use Znne Permit Level
RESIDENTIAL FULL/FINAL
Filing
Subdivision El PUD PERMIT FEES
J Subtlivision/PUp Building Valuation
w 100
-' Lot Block Parcel No. ACCOUNT FEE DATE PAID
—t f
Last First M 1.
o BLDG PERMIT FLAT 15.00.
w P,,dre., City
Z
b State Zip Phone No
rn
2 Company Name Contractor License No.
° F E FIRE H-1088
Q Mote. City State
�Z 1802 LAPORTE AVE FT COLLINS CO
ZZip Phone Sales Tax No,
U A01:74 484—AS92 25964
auilding Square Footage INo. of Stories IBIdgAeight I TOTAL FEES
1C hA
Occupant Load C
u_ Noof pwelling Units No. of Bedrooms
O
Z
O Text:
GAS LOG INSTALLATION
w
0
09303991kk I FEBRUARY 19 1993
As a conditio f the issuance of a permit, I hereby declare that I am an owner
or the owner a ent, authorized to perform the proposed work on the property
described he in. 1 agree to comply with all the requirements contained herein,
and 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
Information- This permit shall become null and void if the work authorized by
such permit is not commenced, suspended, abandoned, or not inspected within
180 days from the date of such permit.
DEPARTMENT
STATUS DATE
REAR
LEFT RIGHT
FRONT
File No,
CALL 221-6769
TO SCHEDULE INSPECTIONS
(See reverse side for
Inspection Description)
GL I LG.
AA 55 7
AA 5557
MIT $15.001
$15.00
X $15.00