HomeMy WebLinkAbout925 BOLTZ DR - PERMITS - 11/22/2002Community Planning &Environmental Services BUILDING P E RM I TPERMIT
e.
FEES
Building & Inspections Division
P.O. Box 580 281 N. College Ave.
Building valuation
Fort Collins, CO 80522-0580 B0207128
City Fart CollinsM
$2,600.00
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phone (970) 221-6760 Fax (970) 224-6134
ACCOUNT
FEE
DATE PAID
JOB SITE ADDRESS 925 BOLTZDR
PERMIT DATE 1 1 /22/2002
Building Permit w/o Subs
$15.0
11/22/02
PERMITTYPE GASLOG Gas Log - Gas Lighter
PERMIT LEVEL
ISSU_FUL
CATEGORY TYPE Residenfial
Last§Fir I41,d&WHIA I
•BOLOLTZ
Construction Type
Occupancy Group
ZAddr95
DR
City/Stet
eFORT COLLINS. CO
ap No. of Stories 0
Building Height 0
3
0
Zip 80525-2802
Phone No. 22&4879
V Building Square Footag6 Stock Plan/Options
Front Setback
Rear Setback
0
• • ••
Z
Right Side Setback Left Side Setback
Z
2
Plat File No. ZBA Case Number Zoning District
(See reverse side for Inspection Description)
-
G L L G
_
Subdivision/PLID
Filing
Q
w
Lot
Block
Lot Area 0
Parcel No. 9725408053
OCompany
Name
Contractor License No.
Address
City/State
Electrical
Q�
Mechanical
License No.
0
Roofing
License No.
H
Z
Framing
License No.
U
m
Plumbing
License No.
Concrete
License No.
As a conditio� 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 he ein. 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 inspected within 180 days fr t .date of such permit or from the date of the last inspection.
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Print n me of owner/ Pent Signature Date