HomeMy WebLinkAbout809 SMITH ST - PERMITS - 12/6/2004Community Planning & Environmental Services
Building & Inspections Division
� P.O. Box 580 281 N. College Ave.
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Fort Collins, CO 80522-0580
City of Fort Collins phone (970) 221-6760 Fax (970) 224-6134
JOB SITE ADDRESS
PERMIT TYPE
W
Z Add
Q Zip
Fron e c
0
Z Right Side Setback
Z
2 Plat File No.
Subdivision/PUD
Q
w Lot
J
Ce Company Name
O
GAddress
ce Mechanical
01
U Roofing
F—
Z FralX Ilk
0
U
m Plumbing
t�
W
F—
Initial
USTEE
' City/State
Phone No.
Rear Setback 793
Left Side Setback
ZBA Case Number Zoning District
Filing
Block Lot Area Parcel No.
Contractor License No.
City/State
Supervisor Cert. No.
License No.
License No.
License No.
License No.
License No.
BUILDING PERMIT
Building Valuation
B0407268
ACCOUNT
FE
DATE PAID
PERMIT DATE
12/QCi/2oo4
Building Permit w/o Subs
City Sales/Use Tax
$23.5
$14A
12/6/04
12/6/04
.EVEL
CATEGORY TYPE
ORstrucion Type
Occupancy Group
County Sales/Use Tax
$3.8
12/6/04
Wp No. of Stories
Building Height
O
U Building Square Footage
I Stock Plan/Options
(See reverse side for Inspection Description)
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TEAR OFF AND REROOF HOUSEIGARAGE WITH 13.67 SQAURES. TAX BASED ON $480.00 MATERIALS.
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 fromi the date of the last inspection.
TOTAL FEES
Print name of owner/agent Signature Date