HomeMy WebLinkAbout425 THRASHER ST - PERMITS - 10/21/2004Community Planning & Environmental Services
Building & Inspections Division
P.O. Box 580 281 N. College Ave.
Fort Collins, CO 80522-0580
c' Phone (970) 221-6760 Fax (970) 224-6134
SITE
W
R[L71t Block Lot Area Parcel No.
4 973141 0t19
Liceme
No.
TEAR OFF AND REROOF USING 20 SQUARES
I
R00
Type
reverse
I.9�3
As a condition for the issuance of a permit, I hereby declare that I am an owner or the owners 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, suspende/d, abandoned or inspected within 180 days fr the of perm or fro 'he date of the last inspection.
Print name of owner/agent Signature Date
Permit w/o Subs
32.50 10/