HomeMy WebLinkAbout4132 WESTBROOKE DR - PERMITS - 12/22/2004Community Planning & Environmental Services
Building & Inspections Division
P.O. Box 580 281 N. College Ave.
Fort Collins, CO 80522-0580
City of Fort Collins phone (970) 221-6760 Fax (970) 224-6134
JOB SITE ADDRESS
PERMIT TYPE PER
Last Name, First, Middle Initial
L. Z Address City/State
Zip Phone No.
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Plat File No, ZBA Case Number Zoning District
J Subdivision/PUD Filing
wLot I Block Lot Area Parcel No.
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Company Name I Contractor License No.
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License No.
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License No.
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License No.
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License No.
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License No.
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SERVICES,
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License No.
BUILDING PERMIT
Building Valuation
B0407145 ACCOUNT FEE DATE PAID
PERMIT DATE
Plan Check Fee $416.3 11/22/04
.EVEL CATEGORY TYPE
Building Permit F&F $150.0 12/22/04
Construction Type Occupancy n,
wp No. of Stories Building Height
0 21
Building Square Footage Stock Plan/Options
(See reverse side for Inspection Description)
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NEW SINGLE FAMILY RESIDENCE WITH 1652 SQ FT UNFINISHED BASEMENT
�flJOB CONTACT- KEN BRONSERT BLOWER DOOR TEST
CITY WATER
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 from the date of the last inspection.
Print name of owner/agent SignatUre Date TOTAL FEES