HomeMy WebLinkAbout605 W LAKE ST - PERMITS - 12/31/1999Community Planning & Environmental Services BUILDING PERMITI
1.
PERMIT
FEES
Building &Inspections Division
P.O. Box 580 281 N. College Ave.
Building valuation $1
530 00
Fort Collins, CO 80522-0580 B9908039
Cilyof
Fort Collins
Phone (970) 221-6760 Fax (970) 224-6134
ACCOUNT
FEE
DATE
AID
JOB
SITE ADDRESS 6D5 W LAKE ST FTCO
PERMIT DATE +&+
g PerrnitMISubs
$+5.00
12/18l+ii6lif
"-M3
PERMITTVPE
MECIi MedraMoa+FdOeraEon
PERMIT LEVEL
ISSU FUL
CATEGORY TYPE
(TWJMOMEHOME14
Last Name, First, Middle Initial
Construction Type Occupancy Group
w
Address City/State
w No. of Stories Building Height
p 9 9
.M.�
26U EASTVMD DR FORT COLLINS, CO
O
i
Zip Phone No.
Bui ding Square Footage 0 Stock PlaNOptions
W525 4934=
:r3
Front Setback Rear SetbackREQUIRED
INSPECTIONS
x:
Z
Right Side Setback Left Side Setback
•rLL SEC
Z
• INSPECTIONS
2
Plat File No, ZBA Case Number Zoning District
SubdwisioNPt-D Filing
(See reverse si a or Inspection Description)
GL FNM
a
wLot
Block Lot Area 0
Name Contractor License No.
OCompany
Address City/Stele
OPhone
Supervisor Cart. No.
U
Electrical License No.
cd
Me I License No.
aG
cs
Roofing License No.
H
Z
0
Framing License No.
m
.x
N
Plumbing License No.
NA
REPLACE FURANCE
As
a Condition for the issuance of a permit, I hereby declare that I am an owner or the owners agent, authorized to perform fhe 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 not 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
$15'00
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