HomeMy WebLinkAbout4226 WESTBROOKE DR - PERMITS - 1/24/2005Community Planning & Environmental Services
Building & Inspections Division
P.O. Box 580 281 N. College Ave.
Fort Collins, CO 80522-0580
city of Port Coffins phone (970) 221-6760 Fax (970) 224-6134
JOB SITE ADDRESS 4226 'WESTBROOKE DR
PERMIT TYPE PER
PLUM PlumbingAlteration
Last Name, First, Middle Initial
to Address City/State
R FORT COLUNS C
U Zip _ _ Phone No.
Ci
Z
Address
K
Filing
Lot Area Parcel No.
U 441
Contractor License No.
City/State
r Cert. No.
License No.
License No.
License No.
License No.
License No.
ADD GAS LINE FOR 8BQ (APPROX 52r)
BUILDING PERMIT
Building Valuation
60500293 ACCOUNT
PERMIT DATE
01 24 2005 Building Permit w,
.EVEL CATEGORY TYPE
ISSU_FUL Residential
Construction Type Occupancy Group
p No. of Stories Building Height
OI Building Square Footage I Stock Plan/Options
(See reverse side for Inspection Description)
RP 0l FWP
As a condition for the issuance of a permit, I hereby declare that 1 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.
Subs 1_ $15.01 1/24/05 1
Print name
Date