HomeMy WebLinkAbout624 W SWALLOW RD - PERMITS - 12/7/2001Community Planning & Environmental Services
Building & Inspections Division
P.O. Box 580 281 N. College Ave.
Fort Collins, CO 80522-0580
cityof F°� cou�►s Phone (970) 221-6760 Fax (970) 224-6134
JOB SITE ADDRESS 624 W WALLOW RD
PERMITTYPE ROOF Roofing - ReRoofing
La a `t' bt WILLIAM
BUILDING PERMIT Building Valuation
B0107579 ACCOUNT
PERMITDATE l r-/`) Building Permit w/o Subs
PERMITLEVEL ISSU-FUL CATEGORY TYPE RESIDENTIAL City Sa;es/Ose Tax
Construction Type Occupancy Group County Sa i eS/Use I ax
Q No. of Stories Building Height
I city / st�RT WLLiNS, CO p
z Ad9 W SWALLOW RD
V Building Square Footage Stock Plan/Options
0 Zipnncor Phone No. 970-988-4663 0
z
Right Side Setback
Z
Plat File No.
Subdivision/PUD
J
Q
w
J
Lot
ad
0
H
V
z
0
V
an
V)
N
AS ROOFING SYSTEMS
Left Side Setback
Zoning District
Filing
O Parcel Nog 72026073
Contractor License No.
City/State
No.
License No.
License No. 6 9
License No.
License No.
As a condition for the issuance of a permit, I hereby declare that I am an owner or the
described herein. I agree to comply with all City ordinances, and State Iaws 'ated/wi
event that issuance was based on Incorrect or incomplete inform is perm all
commenced, suspended, abandoned or not inspected within 1 days fro th to of,
Print name of owner/agent Signatur
(See reverse side for Inspection
q0C
owls"r s agent, authorized to perform the proposed work on the property
Fi such,w6rk. I understand that such permit may be revoked in the
)ecprYie n and void if the work authorized by such permit is not
xfch p it or from the date of the last inspection.
Date TOTAL FEES
FEE DATE PAID
d, '1/lru
$21.06 t2�110
� i /77 jlll
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