HomeMy WebLinkAbout626 REMINGTON ST - PERMITS - 2/2/2005 (2)Community Planning &Environmental Services BUILDING PERMITPERMIT
Building & Inspections Division
P.O. Box 580 281 N. College Ave.
Building valuation
i Fort Collins, CO 80522-0580
city of Fort Cams phone (970) 221-6760 Fax (970) 224-6134 B 0500429
ACCOUNT
FEE
DATE PAID
JOB
SITE ADDRESS
PERMIT DATE
626 REMINGTON ST
02,1012,19005
Building Permit w/o Subs
$15.0
2/2/05
PERMIT
TYPE
PERMIT LEVEL
CATEGORY TYPE
Residentiall
City Sales/Use Tax
$6.0
2/2/05
Last Name, First, Middle Initial
Construction Type
Occupancy Group
loe
uj
DONALD REED
County Sales/Use Tax
$1.6
2/2/05
Address
City/State
Wp No. of Stories
Building Height
Z
CC FORTQ
O
Zip
Phone No.
Building Square Footage Stock Plan/Options
Front et ack
Rear Setback
Z
Right Side Setback Left Side Setback
• • •
Z
IV
Plat File No. ZBA Case Number Zoning District
Subdivision/PUD Filing
(See reverse side for Inspection Description)
RCfl
_
Q
wLot
J
Block Lot Area Parcel No.
Name Contractor License No.
OCompany
v
Address City/State
Z
0
Phone Supervisor Cert. No.
U
Electrical License No.
0�
R
Mechanical
License No.
URoofing
Fra r ROOFINO11588
License No.
License No.
O~
mPlumbing
License No.
V)
Concrete
License No.
TEAR OFF EXISTING SHINGLES AND REROOF DETACHED GARAGE WITH 4 SQUARES
I —
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 th date pf su permit or from the date of the last inspection.
name of owner/gent Signature Date
Print
TOTAL FEES