HomeMy WebLinkAbout4213 KINGSBURY DR - PERMITS - 4/27/1994DEVELOPMENT SERVICES/BUILDING PERMITS & INSPECTIONS DIVISION
P.O. BOX 580, FORT COLLINS, CO 80522-0580
221-67691
BUILDING PERMIT
JOB SITE ADDRESS
H Perm¢ TYPe NbrMOSIIUR�- OR Category TYPO
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FilingPERMIT FEES
Suhdivistionl PUD Building Valuation
Lot Block Parcel No. ACCOUNT FEE DATE PAID
Lost fist W.
BLUG- PERMI-T- FLAT - 15.00
W Ad e `I�9 CITY SALES USE TA 0.00 rt
O Sta by KINSSBURY Phone No.
FORT EOLLINS
Gom Name conhactw Ucense No,
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State
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Occupant Loatl
No. of Dwelling
O
REPLACE WATER HEATER
No.
of Bathrooms
Height
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. 1 agree to comply with all the requirements contained herein,
and 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
information. This permit shall become null and void if the work authorized by
such permit is not commenced, suspended, abandoned, or not inspected within
180 days from the date of such permit.
TOTAL FEES
Gpwrn
DEPARTMENT STATUS DATE
OTC PER IT ISS
LEFT
SITE SETBACKS
REAR
FRONT
RIGHT
CALL 221-6769
TO SCHEDULE INSPECTIONS
(See reverse side for
Inspection Description)
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