HomeMy WebLinkAbout1809 GOLDEN WILLOW CT - PERMITS - 1/10/2001Community Planning & Environmental Services
Building & Inspections Division
P.O. Box 580 281 N. College Ave.
Fort Collins, CO 80522-0580
ilp of Fod Collins
.ram Phone (970) 221-6760 Fax (970) 224-6134
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BUILDING PERMIT7�
Building valuation
PERMIT DATE
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CATEGORY TYPE
w No. of Stories Building Height
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Building Square Footage Stock PlaniOptions
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BASEMENT FINISH TO INCLUDE 2 BEDROOM, BATH I GREAT ROOM. WORK TO BE PERFORMED BY
HOMEOWNER. AFFIDAVIT ON FILE.
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 not inspected within 180 days from the date of such permit or from the date of the last inspection.
Print name of owner/agent ` Signature Date
$15,000.00
ACC([)NT
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DATE PAID •
Pion Check Fee
$15. 00
1 /5101
Baliding omit u/ Solis
$14 . to
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City Sales/Use Tax
$225.00
1/10/01
Cs�nxty Salas/va Tax
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111001.