HomeMy WebLinkAbout809 COLORADO ST - PERMITS - 9/25/2006Community Planning & Environmental Services BUILDING PERMIT
Building & Inspections Division
P.O. Box 580 281 N. College Ave.
Building Valuation
Fort Collins, CO 80522-0580
Phone (970) 221-6760 Fax (970) 224-6134
B060451 0
ACCOUNT
FEE
DATE PAID
JOBSITE
ADDRESS
PERMIT DATE
n / r
Bu l.Id infj Perm t. w/o Sub
- $.50-.
0- - 9/25./0
PERMIT
TYPE
PERMIT LEVEL
CATEGORY TYPE
t
I City Sales/Use Tax
$62,
5---9/25/0
Last Name, First,'Nil
ongrFuc ion Type
Occupancy Group
County Sales/Use Tax
$16.
0 9/25/0
AddreDAVIDCity/State
p No. of Stories
Building Height
w
3
V
0
-_
Zip
Phone No. GO
Building Square Footage
Stock Plan/Options
Front " "
Rear Setback
Right Side Setback Left Side Setback
Z
Z
• •
Q
Plat File No. ZBA Case Number Zoning District
Subdivision/PUD Filing
(See reverse side for Inspection Description)
" 0 0
Q
wLot
J
Block Lot Area Parcel No.nqi
Name Contractor License r o. " '
OCompany
Address it I'tOOFIIICCity/State t r r
PhoneI44 !Ettdt Supervisor Cert. No. vu i r v
U
Electri License No.
...
..
0
Mechanical
License No.
Roofing
License No.
Z
0
FraminbAliUt
License No. t
m
D
Plumbing
License No.
N
Concrete
License No.
REMOVE OLD SHINGLES INSTALL O.C. 30 YR SHINGLES
As
a condition for the issuance of a permit, I hereby declare that I am an owner or the owner's agent, authorized to perform the proposed work on the property
described
herein. I agree to comply with all City ordinances, and State laws associated wi such work. I understand that such permit may be revoked in the
event
that issuance was based on incorrect or incomplete information. This permit shall ome null and void if the work authorized by such permit is not
commenced,
suspended, abandoned or inspected within 180 days from the date h ermit or fir m e date of the last inspection.
on_COiL$,& ��� ��a5, g
name of o ner/agent Signature Date
TOTAL FEES
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