HomeMy WebLinkAbout621 WOOD ST - PERMITS - 6/28/2001Community Planning & Environmental Services BUILDING PERMITPERMIT
FEES
Building & Inspections Division
P.O. Box 580 281 N. College Ave.
Building valuation
Fort Collins, CO 80522-0580
CitvofFes° Phone (970) 221-6760 Fax (970) 224-6134
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$ 000 da
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ACCOUNT
FEE
DATE PAID
JOB SITE ADDRESS 621 WOODST
PERMIT DATE 06/28/2001
Building Permit w/ Subs
City Sales/Use Tax
County Sales/Use Tax
$51.5
$45.0
$12.0
6/28/0
6/18/0.
6 /29 /O
PERMIT TYPE BSMNT- Basement Finish -Residential
PERMIT LEVEL ;cU_FUL
CATEGORY TYPE RESIDENTIAL
Last N�tt�,Flr�St,�Q` Qle p�t�AMES, .�R
onstmction Type
Occupancy Group
K
z Adore1620 KILLDEER DR
O zip 80526-2824
City / State w
FORT COLLINS, CO O No. of Stories
Phone No. 498-9678 V Building Square Footage 0
Z_
CALL 221-6769
Right Side Setback Lett Side Setback
Z
•INSPECTIONS
Plat File No. ZBA Case Number zoning District
(See reverse side or Inspection Descriptio
RP RM GL
Subdivision/PUD
Filing
a
IN FNB FINE
0
fNP FNM SPI
Lot
Block
Lot Area
Parcel No. 9711208006
O G P F R F P
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Company Name
Contractor License No.
RE
License
License
HOMEOWNER AFFIDAVIT ON FILE
~ ENGINEER: GRIFFITH-9404
No.
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 it the work authorized by such permit is not
commenced, suspended, abandoned or not inspected within 180 days from the date of such permit or from the date of the last inspection.
c� c�'1eur- I Jl Lam, I -- / �c� "I TOTAL FEES
Print name of owner agent Slgrt�ure Da e