HomeMy WebLinkAbout412 N ROOSEVELT AVE - PERMITS - 12/10/2002Community Planning & Environmental Services
Building & Inspections Division
P.O. Box 580 281 N. College Ave.
Fort Collins, CO 80522-0580
CityofFort Collins phone (970) 221-6760 Fax (970) 224-6134
JOB SITE ADDRESS 412 N ROOSEVELT AVE
PERMITTYPE MECH Mechanical Alteration PEF
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Z Add'Wf2 N ROOSEVELT AVE
O ZiP 8M21-1646
Front Setback
0
Z Right Side Setback
Z
0 Plat File No. ZBA Case Number
City/StateFORT COLLINS, OO
No.
r Setback
Side Setback
Zoning District
BUILDING PERMIT
Building Valuation
B0207378 $1,800.00
ACCOUNT FEE DATE PAID
PERMIT DATE 12/ 10/2002 Building Persit w/o Subs $15.0 12/10/02
_EVEL ISSU_FUL CATEGORY TYPE Residential City Sales/Use Tex $10.5 12/10/02
Construction Type Occupancy Group County Sales/Use Tax $2 . 8 12/10/02
p No. of Stories O Building Height 0
V Building Square Footagg, I Stock Plan/Options
(See reverse side for Inspection Description)
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Lot
Block
Lot Area
Parcel No. 9711011117004
OCompany
Name
Contractor License No.
Address
City/State
H
ZZ
Phone
Supervisor Cert. No.
V
Electrical
License No.
Me
HEATING I A/C, INC.
License
License No. H-1426
O
Roofing
License No.
H
License No.
OFraming
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Plumbing
License No.
N
Concrete
License No.
As a c tion 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
descri 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 t t 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 from the date of such permit or from the date of the last inspection.
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Print name of owner/agent Si nature Date TOTAL FEES