HomeMy WebLinkAbout421 SMITH ST - PERMITS - 8/7/1996Community Planning & Environmental Services
Building Permits & Inspections Division
dh P.O. Box 580
Citvof F Fort Collins, CO 80522-0580
JOB SITE ADDRESS 421 SMITH S
Permit Type Work Type
TSt RE -ROOF ALTERATION
W Pro .sod Use Use Zone
a I{ESIDFNIIAL
Subdivision PUD Filing
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� Subdivision/PUD
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� Lot Block Parcel No.
L'S/CHNECK First TAMI M.I.
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A13d
WFIEDBEE ST city
COLLINS
0 St Zip Phone No.
�l 80524 493-2432
ac C Nam Contractor License No.
O M{7OOFING R-695
AIT'N LONGHORN Cl City FT COLLINS
0 Zin0526 Phone 484-1111 sole:T2ax 1145
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No. of Stories
Fire
ROOF WITH DIMENSIONAL CLASS A
• E19628(6 AUGUST 1, 1996
NEEMEWeee
As a condition for the issuance of a p 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 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.,bych permit is not commenced, suspended, abandoned, or not
inspected withipModys from the date of such permit.
BUILDING PERMIT
221-6769
Permit
Valuation
SETBACKS
REAR
LEFT
FRONT
Lot Area
Plat File No,
Off St. Parking
RIGHT
TO SCHEDULE INSPECTIONS
(See reverse side for Inspection Description)
OlC PERMrT ISS I N/A
N/A
Plumbing
N/A
Other
N/A
RF