HomeMy WebLinkAbout948 PIONEER AVE - PERMITS - 8/13/2004Community Planning &Environmental Services BUILDING PERMIT
Building & Inspections Division
P.O. Box 580 281 N. College Ave. Building valuation
Fort Collins, CO 80522-0580
City of Fort coins phone (970) 221-6760 Fax (970) 224-6134 8 0 4 0 5 2 1 9
ACCOUNT
OB SITE ADDRESS PERMIT DATE
:RMITTYPE PERMIT LEVEL CATEGORY TYPE 9 Building
Permit w)
Last Name, First, Middle Initial FUL tden City Ules/Ose Ea)
Construction Type I OccuoancvGroun
Z Add
0 Zip
Fror
0
Z_ Rigt
Z
2 Plat
Sub,
u0,t Lot
0C
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0
V
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Cit /State w wrung tmlcojvbc it
y p No. of Stories Building Height
Phone No. V 0
Building Square Footage Stock Plan/Options
Rear Setback .
Left Side Setback
ZBA Case Number Zoning District (See reverse side for Inspection Description
Filing BOO
Block Lot Area Parcel No.
Q
Contractor License No.
City/State
Supervisor Cert. No.
License No.
License No.
y License No.
icrete License No.
TEAR OFF AND REROOF USING 19 SQUARES - TAXES ON MATERIAL COST $760.00
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.
Print name of owner/agent SigDate
8/1