HomeMy WebLinkAbout624 YARROW CIR - PERMITS - 10/27/2003Community Planning & Environmental Services
Building & Inspections Division
P.O. Box 580 281 N. College Ave.
Fort Collins, CO 80522-0580
City of Fort Collins phone (970) 221-6760 Fax (970) 224-6134
JOB SITE ADDRESS 624 YARROW CIR
PERMIT TYPE PERMIT
RALAD Res Alteration/Addition
Last Name, First, Middle Initial
MCMURRY, BURTON A/JUDEE R
Z Address City/State
3 624 YARROW CR FORT COLLINS, CO
0 Zip Phone No.
50524 493-9091
BUILDING PERMIT
Building Valuation
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ACCOUNT
PERMIT DATE
10/27/2003 Plan Check Fee
LEVEL CATEGORY TYPE ISSU_FUL kcsryBldg :650<2500-Res Sc i lU,!ing Perot w/ Subs
Construction Type Occupancy Group
5N R_3 City Sales/use Tax
p No. of Stories Building Height
0 1 0 Ccunty Sa!eS/!'Se Taz
Building Square Footage Stock Plan/Options
0-e)ost - 26
Z Right Side Setback O-eXISt Left Side Setback
15
NPlat File No. ZBA Case Number Zoning District
RL
Subdivision/PUD Filing
a MEADOWS AT REDWOOD REPLAY
wLot Block Lot Area Parcel No.
8 3 6003 9701417008
Company Name Contractor License No.
Phone
Electrical I License No.
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License No. -
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Roofing
License No.
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OFraming
License No.
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Plumbing
License No.
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I I Concrete I License No.
(See reverse side for Inspection Description)
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ENCLOSE 12 X 20 PATIO
WORK COMPLETED PRIOR TO PERMIT - RECD REQUEST FOR INSPECTION ON COMPLETED WORK -
HOMEOWNER AFFIDAVIT ON FILE
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As qAotidition 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 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 I Signature Date TOTAL FEES
FEE I DATE PAID
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$381