HomeMy WebLinkAbout825 SMITH ST - PERMITS - 8/10/2000Community Planning & Environmental Services
Building & Inspections Division
P.O. Box 580 281 N. College Ave.
Fort Collins, CO 80522-0580
Citl+ofF=�� Phone (970) 221-6760 Fax (970) 224-6134
JOB SITE ADDRESS 1125 SMITH ST
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PERMIT TYPE GASLOG Gas Log - Gas Lighter
Last Name, First, Middle Initial KARL R
W city / Sta
Z Address 825 SMITH STORT COLLINS, CO
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f10524-3417
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BUILDING PERMIT Building Valuation $,,000_oo
B0014820 I -
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FVLConstruction Type
No. of Stories
Building Square Foo
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(See reverse
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INSTALL GAS FIREPLACE, EXHAUST VENT DUCT AND GAS PIPE. ALL WORK TO BE
BY HOMEOWNER.
DATE 08/10/2000 Building Pem* WO/SubS 1 $15.00 08/1
iRY TYPE RESIDENTIAL
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LG
As a to
osed work on the
described condition for the issuance of a
I agree to comply with all City ordinances, and State laws associateddeclare that I am an owner or he owner's with such work. Itundefrstanddthat suchrpermt may be revoked in the property
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 not inspected within 180 days from the date of such permit or from the date of the last inspection.
bOC�e� �GS1 1� �N_. �—Icy— 2az�
Date
Print name of owner/agent
Signature