HomeMy WebLinkAbout630 MARIGOLD LN - PERMITS - 5/6/2004I PERMIT FEES
Community Planning &Environmental Services BU'LDI.N PERMIT
Ad 0 OHM k Building & Inspections Division
JIMMLIAM P.O. Box 580 281 N. College Ave. Building valuation
Fort Collins, CO 80522-0580
City of Phone (970) 221-6760 Fax (970) 224-6134 B0402732 , ��'a�
f DATE PAID
JOB SITE ADDRESS 630 MAR ww LN PERMITDATE 05/06/2004 hildteg Pemt w/o Star $44.5 5/6/04
PERMIT TYPE PERMIT LEVEL CATEGORYTYPE
ROOF R m ing - RaRoOng MW—FUL R oWeWal
Last Name, F� u#xst Mi a initial L Construction Type Oocupancy Group
Add r 4Y� LN C'rty/State �NS, CO OLa" No. of Stories Building Height
O ZIP �i% Phone No. ) V Building Square Footage Stock Plan/Options
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Font Setback Rear Setback
Zn Right Side Setback Left Side Setback
t�l Plat File No. ZBA Case Number Zoning District (See reverse side For Inspection Description)
Subdivision/PUD Filing ROO
Q Lot Block Lot Area Parcel No.9735319GG6
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IZMechanical
CG
License No.
Roofing
PARTNERS ROOFING
License No.
R 1272
0
Framing
License No.
V
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Plumbing
License No.
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As d-fondition 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 incorrebt or incomplete information. This it shall become null and void if the work authorized by such permit is not
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suspended, abandoned or inspected within 180 days from to of such permit, froShe date of the last Inspection.
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Print name of othnerJagent ign ture Date