HomeMy WebLinkAbout938 W MOUNTAIN AVE - PERMITS - 7/17/2006e Community Planning &Environmental Services BUILDING
� � � � � � � � � �� � IPERMIT FEES
�Building & Inspections Division
P.O. Box 580 281 N. College Ave. Building Valuation
Fort Collins, CO 80522-0580
City of Fort Collins phone (970) 221-6760 Fax (970) 224-6134 B 0 6 0 3 4 4 9
ACCOUNT FEE DATE PAID
JOB SITE ADDRESS PERMIT DATE
7 Z ' Building Permit w/o Subs $15 0 7/17/0
Last Name, First,
ce
w Address
O Zip
_Z Right Side Setback
Z
Plat File No.
Subdivision/PUD
a
W Lot
J
� Company Name
Phone ' '
w Mecnanic
H
Roofing
H
Z Framing
O
U
m Plumbing
Initial
vial
City/St.
JINITAIN
Phone No.
Rear Setback
Left Side Sett
ZBA Case Number
Block Lot Area
Contractor Li
RFN0VATR*C
City/State
License No.
License No.
License No.
License No.
License No
RMIT LEVEL CATEGORY TYPE '
City Sales/Use`Tax ;7. `0 7/17/0
Construction Type Occupancy Group
W County Sales/Use Tax $ 2. 0 1 / 11 / 0
p No. of Stories Building Height O
U
Building Square Footage I Stock Plan/Options
District (See reverse side for Inspection Description)
f,P CL FNP
Parcel No.
RUN GAS OUT TO GARAGE FOR FUTURE, BEFORE LANDSCAPING IS DONE. PROPERTY OWNER ADVISED
OF INSULATION CODE REQUIREMENTS.
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