HomeMy WebLinkAbout3050 W STUART ST - PERMITS - 2/16/2005Community 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 3050 W STUART ST 3
PERMIT TYPE pE
GASLQG Gas Loa - Gas Lighter
Last Name, First, Middle Initial
WSS- DENNIS
LU Z Address City/State FORT M-1 I INS
3
0 ZIP Phone No.
0
Z Right Side Setback Left Side Setback
Z
Plat File No. ZBA Case Number Zoninq District
J auoamsionwuu Filing
Q
wLot Block Lot Area Parcel No.
J
Company Name Contractor License No.
ne
mecnanicai
License No.
0
Roofing
License No.
Z
Framing
License No.
V
Plumbing
License No.
N
Concrete
License No.
INSTALL GAS INSERT AND 24 FT GASLINE
BUILDING PERMIT
Building Valuation
B0500687 ACCOUNT
PERMIT DATE
2 16 2005 Building Permit w/o Subs
(See reverse side for Inspection Description)
GL LG
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 w rk authorized by such permit is not
c enced, suspended, abandoned or inspected within 180 da a date of such permit or date he last inspection.
r
Print n4Ke of owner/agent igna re Date I TOTAL FEES
FEE DATE PAID
$15.02/16/05