HomeMy WebLinkAbout416 N SHERWOOD ST - PERMITS - 10/27/2004Community Planning &Environmental Services
PERMIT FEES
Building & Inspections Division BUILDING PERMIT
P.O. Box 580 281 N. College Ave.
Building Valuation
Fort Collins, CO 80522-0580
City of Fort Collins phone (970) 221-6760 Fax (970) 224-6134 B 0 4 Q 6 6 9 9
1 200.00
ACCOUNT
FEE
DATE PAID
JOB
SITE ADDRESS 416 N SHERWOOD ST
PERMIT DATE
PERMIT
TYPE
10/27/2004
Building Permit w/o Subs
$41.0
/
10127/04
PERMIT LEVEL
PLUM Plumbing Alteration ISSU_FUL
CATEGORY TYPE
Residential
City Sales/Use Tax
County Sales/Use Tax
$18.0
$4.8
10/27/04
10/27/04
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Last Name, First, Middle Initial
HINKLE, ANNE H
Construction Type Occupancy Group
Address City/State
4413 VIEWPOINT CT FORT COLLINS, CO
LU
O
No. of Stories Building Height
O
Zip Phone No.
p/�r�r
W5 5 226-1001
U
Building Square Footage Stock Plan/Options
Front Setback Rear Setback
Z
Z
Right Side Setback Left Side Setback
•
Plat File No.
'
ZBA Case Number Zoning District
Subdivision/PUD Filing
(See reverse side for Inspection Description)
RP G L F N E
J
wQ
Lot Block Lot Area Parcel No.
FNP RE
0 97111i8016
Company Name Contractor License No.
Address City/State
H
ZO
Phone Supervisor Cert. No.
U
Electrical License No.
OMechanical
License No.
U
Roofing License No.
H
OFraming
License No.
U
Plumbing License No.
�
to
Concrete License No.
RE -CONFIGURE EXISTING BATHROOM FIXTURES IN MAIN BATHROOM. INSTALL GFCI OUTLETS IN
BATHROOM.
RECD REQUEST FOR INSPECTION ON COMPLETED WORK
DOUBLE FEE FOR COMPLETING WORK PRIOR TO PERMIT
'/
V
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 m the date of such permit or from the date of the last inspection.
L
dame of owner/agent Si ure Date I
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TOTAL FEES