HomeMy WebLinkAbout938 MAPLE ST - PERMITS - 9/10/2003Community Planning &Environmental Services BUILDING PERMITPERMIT
FEES
Building & Inspections Division
�iP.O. Box 580 281 N. College Ave.
Building valuation
Fort Collins, CO 80522-0580
City of Fort Collins phone (970) 221-6760 Fax (970) 224-6134 B 0 3 0 5 9 5
[ACCOUNT
FEE
DATE PAID
JOB
SITE ADDRES5938 MAPLE ST
PERMIT DATE / /�
I l.%.JJ Il/ 0 /GVVJ
01ding Pert7iL u/o Subs
ity Sales/Use Tax
$15.00
$9.00
9/I0/000
9/10/03
PERMIT
TYPE
PLUM Plumbing Alteration
PERMIT LEVEL
ISSU_FUL
CATEGORY TYPE
I Residential
Last Name, First, Middle Initial
Construction Type
Occupancy Group
oe
AMADOR, SUSAN
ounty Sales/Use lax
$2. d0
9/ 10/03
Address
City/State
No. of Stories
Building Height
Z
Wp
3
938 MAPLE ST
FORT COLLINS, CO
0
U
Zip
80521-1823
Phone No.
493-4665
_
Building Square Footage Stock Plan/Options
Front Setback Rear Setback
Right Side Setback Left Side Setback
• • •
Z_
Plat File No. ZBA Case Number Zoning District
Subdivision/PLID Filing
(See reverse side for Inspection Description)
n P F ,�i Pr
Q
w
Lot Block Lot Area Parcel No.
J
Q 1 9711225019
Company Name Contractor License No.
ix
Q
BY DESIGN HOMES LLC D 363
Address
City/State
t—
15863 NCR 25E LOVELAND CO 810537
Z
Phone Supervisor Cert. No.
0
970 223 9077
Electrical License No.
0::
0
Mechanical
License No.
Roofing
License No.
H
Framing
License No.
Z
U
�
Plumbing
License No.
N
�HTPL STFVF PIMRP, Aq
MP 457
Concrete
License No.
REPLACE APPROX 20 FT OF SEWER LINE THAT IS CLAY WITH PVC.
As
a condition for the issuance of a permit, I hereby declare that I am an n r 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 I ted with h work. understand that such permit may be revoked in the
event
that issuance was based on incorrect or incomplete infor n. . per s all bec null a d aid if the work authorized by such permit is not
commenced,
suspended, abandoned or inspected within 1 da s from th date of h per I or fro t e date of the last inspection.
name of owner/agent �t -C §7—
lgnatu±�,,-A D e
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TOTAL FEES
$2640
M