HomeMy WebLinkAbout4454 HOLLYHOCK ST - PERMITS - 7/9/1981City of Fort Collins, C am'
Estimated Cost of f% '
Labor and Materials
Permit Fee
Plan Check Fee
Work In
Progress Fee —
Street Oversizing
Park Land Fee
Storm Drainace Few
TOTAL DUE
DescrlDtl6n OfAuthnriene Wnrk
Special Conditions of Issuance
BUILDING PERMIT NO.
Date
(name) 7 % Is hereby authorized to:
❑ Enlarge ❑ Erect ❑ Repair ❑ Remodel ❑ Demolish
Structure At
ADDRESS
Legal Description: Lot_ Block_Occ Group_
Zone Dist._ Subdivision
Useof Bldg.
'iJ(7
CONTRACTOR'S STATEMENT: As the duly licensed contractor for the above Work, I untlerstand thel imitations of
responsibility for the work authorized hereunder and further acknowledge that fraudulent usle or lending df such license
contractor eprtually performing the work, maybe cause for revocation and other panafYjeS. 7$ec.>78-124 Mun�Oipal Cod
(Contractor) (Lic No.) (SI nature of Auth
Tkihereby t is issued shalln the In all
spectspress tionthat the _
work hereby authorized shall in ell resoech conform to
the statements certified in the application for such William E. Wald
Permit and that all work shall be done in accordance with Q
the ordinances of the City of Fort Collins and the laws of Chief Building Official
a
the State of Colorado. The granting of this permit does - -
notgivetheauthoritytoviolateanyoftheseregulations. PERMIT BECOMES VOID IF AUTHORIZED Vii IS NQTCOMM
_..l _�
��— White - Sales Tax; Pink Counter; Yellow - Applicant Greerf- Bldg. Irsrx,dhonp Blue - Safes Tax
by
Type_
assume all
WITHIN 180 DAYS