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HomeMy WebLinkAbout928 W LAKE ST - PERMITS - 10/25/2001Community Planning & Environmental Services Building & Inspections Division P.O. Box 580 281 N. College Ave. Fort Collins, CO 80522-0580 Phone (970) 221-6760 Fax (970) 224-6134 JOB SITE ADDRESS 928 W LAKE ST PERMIT TYPE ROOF Roofing - ReRoofing HAMILTON, HELEN M ZAddress 928 W LAKE OI zio O z_ Z O N tX `0 4V {L Z Z O U m Left Number BUILDING PERMIT � Budding Valuation B0106742 PERMIT LEVEL ISSU_FUL FORT COLLINS. CO 484-3802 13 wp No. of Stories O 0 Building Square Footage 0 Pik REROOF 25 SQUARES WORK COMPLETED PRIOR TO PERMIT - WORK DONE BY HOMEOWNER/FAMILY reverse s 10/25/2001 RESIDENTIAL 0 ACCOUNT uildinu Permit 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 not inspected within 180 days from the date of such permit or from the date of the last inspection. I rrt name"of owner/agent nature "ate — TOTAL FEES $2,500.00 FEE DATE PAID $38.50 0/26/01 $38.50