HomeMy WebLinkAbout936 WAKEROBIN LN - PERMITS - 11/18/2004Community 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 4
07082
ACCOUNT F� DAtE PAID'
PERMIT DATE
JOB SITE ADDRESS
t336 WAKEROBIN LN 1 1 1D 2004 Building Permit w/o Subs $25.0 11/18/04
PERMIT TYPE PERMIT LEVEL CATEGORY TYPE
ROOF Roofin - ReRoofin ISSU FUL Residential
Last Name, First, Middle Initial Construction Type Occupancy Group
w Address City/StateO
No. of Stories Building Height
zip Phone No. V Building Square Footage Stock Plan/Options
L_ Right Side
Z
Plat File No.
1 1 Subdivision/
uj I Lot
J
Phone
w mechanic
O
Roofing
Framing
0
U
Rear Setback
Left Side Setback
ZBA Case Number Zoning Di!
Filing
Block Lot Area Parcel No.
O
Contractor License No.
City/State
Supervisor Cert. No.
License No.
License No.
License No.
cO Plumbing License No.
N
Concrete I License No.
(See reverse side for Inspection Description)
R00
TEAR OFF EXISTING ONE LAYER TO DECKING, INSTALL 25 GAF 3 TAB ON 4:12 PITCH ROOF 17.33
SQUARES
VALUATION ON LABOR ONLY (HOME DEPOT JOB)
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 ate of such r it or from the date of the last inspection.
V-4y S�-,QAIVP
Print name of owner/agent Signatu Date /