HomeMy WebLinkAbout972 BITTERBRUSH LN - PERMITS - 3/19/2004Community Planning & Environmental Services
Building & Inspections Division
i 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 972 BITTERBRUSN LN
PERMIT TYPE PER
ROOF Roofing - ReRoofirg
Last Name, First, Middle Initial
GARI DONNA
Lu
Z Address City/State
3 4500 MAXWELL DR FT COLLINS, CO
O Zip Phone No.
$0525
Frnnt Gotha k Rear Setback
0
Z_ Right Side Setback Left Side Setback
Z
Plat File No. ZBA Case Number Zoning District
Subdivision/PUD Filing
J
Q
wLot Block Lot Area Parcel No.
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Company Name Contractor License No. J
Address City/State
Gn *e T 'rl ; nn rnnT rn r Ic r
Z Phone Supervisor Cert. No.
Electrical
License No.
Mechanical
License No.
O
H
License No.
URoofing
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Framing
License No.
0
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Plumbing
License No.
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Concrete
License No.
BUILDING PERMIT
Building Valuation
B0101419 ACCOUNT
PERMIT DATE
SulIdI- hrfv ti/c Subs
RMIT LEVEL CATEGORY TYPE
ISSU_FUL Residential City Sales/Cse tax
Construction Type Occupancy Group
1006y 1jaieS/uSc an
Wp No. of Stories Building Height
OBuilding Square Footage Stock Plan/Options
(See reverse side for Inspection Description)
itVV
REMOVE AND REPLACE 16 SCQUARES. TA`: BASED ON $652.00 MATERIALS.
As a condition 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.
FEE DATE PAID
$26.5 3I'll 9/,:4
$19.5 3/19/04
$5,2' 3%19I104
U
name of owner/agent
Date
TOTAL FEES
$51