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HomeMy WebLinkAbout623 LAPORTE AVE - PERMITS - 4/9/2004Community 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 623 LAPORTE AVE PERMIT TYPE PER ROOF Roofing- ReRoofin Last Name, First, Middle Initial SECOR. EDMUND C. III w Z Address City/State FORT COLLINS. O Zip Phone No. 80521 490-1031 Front Setback Rear Setback 0 Z_ Right Side Setback Left Side Setback Z Plat File No. ZBA Case Number Zoning District Subdivision/PUD Filing J Q W Lot J Company Name GAddress Block ILot Area City/State 0 BUILDING PERMIT Building Valuation B0402020 ACCOUNT PERMIT DATE li!i 2 'v.i Bt�ing r21"ifiiuu � h/J uS RMIT LEVEL CATEGORY TYPE lSSU FUL Residential Clty Sales/Use Tax Construction Type Occupancy Group County Sales/Use lax p No. of Stories Building Height OBuilding Square Footage Stock Plan/Options Electrical License No. Mechanical License No. F— Roofing License No. t— nnncM ST[nc r t nA Z Framing License No. U m Plumbing License No. Z) N Concrete License No. TEAR OFF ALL LAYERS AND REROOF USING 15 SQUARES (See reverse side for Inspection Description) Ii 00 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. Ll Iq /061 TOTAL FEES Print name of owner/agent Signature Date FEE DATE PAID �n5.0 4/r,n, yL /,i $22.5 4/9/104 P 0 4/91104