HomeMy WebLinkAbout411 E PITKIN ST - PERMITS - 1/18/2005Community Planning &Environmental Services BUILDING PERMIT Building &Inspections Division
P.O. Box 580 281 N. College Ave. Building Valuation
Fort Collins, CO 80522-0580
40ty,fVort c°urns Phone (970) 221-6760 Fax (970) 224-6134
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OB SITE ADDRESS PERMIT DATE
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BASEMENT FINISH - OFFICE, BEDROOM, FAMILY ROOM. LAUNDRY ROOM AREA (MOVING EXISTING
LAUNDRY ROOM AND FINISH) INSTALL (2) NEW EGRESS WINDOWS AND REPLACE FURNACE AND WATER
HEATER (D8L PERMIT FEE FOR STARTING PRIOR TO PERMIT) HOMEOWNER AFFIDAVIT/TEST ON FILE
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 insp ion.
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Print ame of owner/agent Signature Date