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HomeMy WebLinkAbout612 ZUNI CIR - PERMITS - 5/30/2006Community Planning & Environmental Services Building & Inspections Division P.O. Box 580 281 N. College Ave. Fort Collins, CO 80522-0580 City of Fort Collins phone (970) 221-6760 Fax (970) 224-6134 JOB SITE ADDRESS R12 7UNI CIR PERMIT BUILDING PERMIT Building Valuation B0602530 ACCOUNT PERMIT DATE 05 30 2006 Trust Acct Deferred Rev LEVEL CATEGORY TYPE ISSU FUL Residenti I Building Permit w/o Sty Last Name, First, Middle Initial Construction Type Occupancy Group Uj Address City/State W p No. of Stories Building Height Z 3 O Zip Phone No. Building Square Footage Stock Plan/Options 282-7653 Front Setback Rear Setback • • • Z Right Side Setback Left Side Setback 2 (See reverse side for Inspection Description) R 0 Q Plat File No. ZBA Case Number Zoning District Subdivision/PU D Filing J Q wLot Block Lot Area Parcel No. J 1 7 23012 r ram.,,-- Kj— I Contractor License No. H Address City/State OPhone Supervisor Cert. No. V 970 663n Electrical License No. oe Mechanical License No. O 2 Roofing License No. 7 F Z Framin License No. O mPlumbing License No. V) N Concrete License No. TEAR OFF AND INSTALL TAMKO HERITAGE SHINGLES 14 SO w 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 fr a date of such permit or from the date of the last inspection. T� £ _ � � -� m y Print name of owner/agent Sign 4ur Date TOTAL FEES FEE DATE PAID $23. 0 5/30/0 $23.:0 5/30/0