HomeMy WebLinkAbout807 QUAIL RUN - PERMITS - 8/23/2006I
Community Planning& Environmental Services BUILDING PERMIT
Building & Inspections
PERMIT FEES
- Division
P.O. Box 580 281 N. College Ave.
Building valuation
Collins,llins COO 8052
Fort 80522-0580
City of Fort Conics Phone 2 Fax (970) 224-6134 Boso�io o
ACCOUNT
FEE
DATE PAID
JOB
SITE ADDRESS
PERMIT DATE
I
807 QUAIL RI IN
O 79
Bullying Pernit w/o Sub!
I
$15.
0 B/23/0
PERMITTYPE
PERMIT LEVEL
CATEGORY TYPE
Last Name, First, Middle Initial
Con ruction Type
Occupancy Group
al
Z
Addn.9 OLLIN
City/State
Lu
c) No. of Stories
Building Heigh
O
Zip Phone
No,
Building Square Footage Stock Plan/Options
Front Setback Rear
Setback
0
Z
Right Side Setback Left Side Setback
Z
• •
Plat Foe Ne. zBA caae Numbar zoning Orstakt
SubdivisioNPUD Filing
(See reverse side for Inspection Description)
CL FNM
a
wLot
Block Lot Area Parcel No.
9179PII84P
Company Name Contractor License No.
Of
O1ddorqFP-gTFG�r
City/State
ZZ
i n i
ON tINSn n
Phone Supervisor CerF No. r
Electrical License No.
MechaM `a4 r u t
License No. t E 666
G
Rootin) " ° n t t •
License No
H
Z
Framing
license No.
0
m
so
Plumbing
License No.
N
Concrete
License No.
INSTALL A/C
X
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 from the date of such permit or from the date of the last inspection.
name of owner/agent Signature Date
TOTAL FEES
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