HomeMy WebLinkAbout4144 SUMTER SQ - PERMITS - 3/17/2005Community Planning & Environmental Services
Building &Inspections Division BUILDING PERMIT
P.O. Box 580 281 N. College Ave.
Fort Collins, CO 80522-0580 Building Valuation
lciity,f &F.IrtC1.!11'fin. phone (970) 221-6760 Fax (970) 224-6134 B 0 5 01101
JOB SITE ADDRESS AccouNT
PERMIT DATE S r t ,� uii lily rernili, x1u"
PERMIT TYPE eC antra ter ion
PERMIT LEVEL _ CATEGORY TYPE
es1 entta
Last lyy�pp "I WALL WANET S
Construction Type Occupancy Group
j Addr44 OS KNOBCONE PL City/State LOVELAND, CO p No. of Stories
> Building Height
Q Zip Q
Phone No. V
Building Square Footage Stock Plan/Options
Front S tb k
e ac Rear Setback
Q , •
Z Right Side Setback
Z Left Side Setback
N Plat File No. ZBA Case Number
Zoning District
SubdivisioNPUD (S�, reverse side fo�Inspection Description)
Q Filing
wLot Block Lot Area Parcel No.
Company Name
Phone
License No
O Mectniftal H H I ✓i a r 1 V License No. N 8
Roofing
License No.
H
O Framing
License No.
V
cO Plumbing
ti License No.
Concrete
License No.
8
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Asa 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
2,920.00
FEE DATE PAID
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