HomeMy WebLinkAbout4615 DUSTY SAGE DR - PERMITS - 10/5/2006Community Planning & Environmental Services
Building & Inspections Division
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P.O. Box 580 281 N. College Ave.
Fort Collins, CO 80522-0580
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Phone (970) 221-6760 Fax (970) 224-6134
JOB SITE ADDRESS
PERMITTYPE
Finish
PEF
Last Name, First, i
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City/State
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Zip
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Phone No. ,
Front 096
Rear Setback
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Right Side Setback
Left Side Setback
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File No.
ZBA Case Number Zoning District
Subdivision/PUD
Filing `
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94
Block
Lot Area
Parcel No.
Company Name
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Phone V II 1 t L l r
ElectridaY ` " ""
License No.
Mecha=WICK EtECTRIC
License No.
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Roofings t. L V- 1� tt e-HEATING
License No.
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Framing
License No.
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Plumbing
License No.
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ConcrdfdUMG MANIA FLU MGlr16r INU ILicense No
BASEMENT FINISH, BEDROOM, BATHROOM, FAMILY ROOM
OWNER TO DO FRAMING
HOMEOWNER AFFIDAVIT ON FILE
BUILDING PERMIT
Building Valuation
B0604676 ACCOUNT
PERMIT DATE
.EVEL CATEGORY TYPE! G5 /n " 6 Building Permit u/ Subs
onstruc ion Type Occupancy r"al RemodeI Plan Check Fee
wp No. of Stories Building Height City Sales/Use Tax
- Building Square Footage Stock Plan/Options County Sales/Use Tax
(See reverse side for Inspection Description)
RP
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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 inspected within 180 days from the date of such permit or from the date of the last inspection.
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Print name of owner/agent Signature Date
TOTAL FEES
FEE 'I DATE PAID I
$165. 18 10/5/0
$15. 0 10/5/0
$245. 2 10/5/0
$65. 14 10/5/0