HomeMy WebLinkAbout613 MEADOW RUN DR - PERMITS - 9/27/2004Uj
W UAN County Sa l es/Use Tax $14 .
Address City/State p
6No. of Stories Building Height
13 MEADOW RUN DR FORT COLlINS 00
Zip Phone No. V Building Square Footage Stock Plan/Options
282-720 A
s
_ Right Side Setback Left Sitle Setback
Z
2 Plat File No. ZBA Case Number Zoning District (See reverse side for Inspection Description)
J Subdivision/PUD Filing R00
tau Lot Blodc Lot Area Parcel No.
Company Name Contractor License No.
q�
GRoofing
mecnarnca,
License No.
License No.
V
Framing
License No.
Plumbing
License No.
TEAR OFF AND REROOF USING 37 SQUARES
18
As a condition for the issuance of a permit, 1 hereby declare that I am an owner or the owner's agent, authorized to perform the proposed work on the property
described herein. 1 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 Signa e Date
7/04 1