HomeMy WebLinkAbout1 OLD TOWN SQ - PERMITS - 1/31/1986WMIe - CaY Cieu YNlowAppl,cant
Pink - BwlEpg Inspector Green - auepanas
City of Fort Collins, C lorad
Date ��% ��
Estimated Cost of
Labor and Material
Permit Fee
Plan Check Fee_
Work In
Progress Fee
TOTAL DUE
Description of Autl
rr
Special
Conditionsof Issuance
BUILDING PERMIT NO. Qa
is hereby authorized to
(name)
❑ Enlarge 2eErect ❑ Repair ❑ Remodel ❑ Demolish
❑ Move
Structure At
ADDRESS?
Legal Description: Lot Block_ Subdivision
Occ Group Const.Type
Zone Dist.
Use of Bldg.
CONTRACTOR'S STATEMENT: As the duly licensed contractor for the above work, 1 understand the limitations of said license and assume all
responsibility for the work authorized hereunder and further acknowledge that fraudulent use or lending of such license to obtain permits for another
contractor actually performing the work, may be cause for revocation and other penalties. (Sec. 73-124 Municipal Code)
(Contractor) (Lic. No.)
This permit is issued on the expresscondition that the (Signature Of Authorized Agent)
work hereby authorized shall in all respects conform to
the statements certified in the application for such
permitandthat all work shall be donem accordance with Felix Lee
the ordinances of the City of Fort Collins and the lawsof
the State of Colorado. The granting of this permit does Director Of Building Inspection -
notgivetheautnoritytoviolateanyoftneseregulations. IV
PERMIT BECOMES VOID IF AUTHORIZED WORK IS NOT COMMENCED WITHIN 180 DAYS