HomeMy WebLinkAbout630 SMITH ST - PERMITS - 2/3/2006Community Planning &Environmental Services BUILDING PERMITPERMIT
FEES
Building & Inspections Division
P.O. Box 580 281 N. College Ave.
Building Valuation
Fort Collins, CO 80522-0580�
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City of Fort Collins phone (970) 221-6760 Fax (970) 224-6134 B Q
ACCOUNT
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HATE PAID
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SITE ADDRESS 630 SMITH ST
PERMIT DATE o 3
/o�, 2006
Building Perm it w/o Subs
City Sales/Use Tax
uount Sales/Use ies/Use Tax
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$tS.
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PERMITTYPE
PLUM Plumbing Alteration
PERMIT LEVEL
ISSU_FUL
CATEGORY TYPE Residenti
Last Name, First Middle Initial
STAN�1fICH, COLLEEN S2ACHARY S
Construction Type
Occupancy Group
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Address
630 SMITH ST
City/State
FORT COLLINS, CO
in No. of Stories
0
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Building Height
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Zip W524
Phone No. 472-9654
Building Square Footage Q Stock Plan/Options
Front Setback Rear Setback
b
Z
Right Side Setback Left Side Setback
• • •
Z
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Plat File No. ZBA Case Number Zoning District
(See reverse side for Inspection Description)
I: P 0 T F N P
Subdivision/PUD
Filing
J
Lot
Block
Lot Area
Parcel No. 9713233008
OCompany
Name
Contractor License No.
City/State
N
Address
= Mechanical License No.
O
Roofing License No.
Framing License No.
O
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Plumbing License No.
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Concrete License No.
REPAIR WATER LEAK FROM CURB STIP TO HOUSE. REPLACE GALVANIZE PIPE WITH COPPER PIPE AND
DRILL NEW HOLE THROUGHT FOUNDATION. RECONNECT NW WATER LINE TO EXISTING PIPE IN HOUSE.
As a condition for the issuance of a permit, I hereby declare that 1 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 Me date of the last inspection.
3 /0
Print name of own agent Signature "at.