HomeMy WebLinkAbout411 S LOOMIS AVE - PERMITS - 6/27/2005Community Planning &Environmental Services BUILDING PERMITPERMIT
Building & Inspections Division
P.O. Box 580 281 N. College Ave.
Building valuation
Fort Collins, CO 80522-0580
City of Fort Collins phone (970) 221-6760 Fax (970) 224-6134
ACCOUNT
FE
DALE' PAID
JOBSITE ADDRESS
PERMIT DATE
/2 T �>r,r�G
BuildingPermit w/o Subs
26505
$.
6/27/
PERMITTYPE
PERMIT LEVEL
CATEGORY TYPE-
Recieientia-t
City Sales/Use lax
T
County Sales/Use lax
$24,0
$6,4
6/27/05
6/27J05
w
Last Name, First, Middle Initial
ANNI
CSstructionType
Occupancy Group
3
O
Address
City/State
w
pO No. of Stories
Building Height
Zip
Phone No.
V Building Square Footage Stock
Plan/Options
Z rRi.glZ
2
Address
Phone
Setback
Left Side Setback
ZBA Case Number Zoning District
Filing
Block Lot Area Parcel No.
Contractor License No.
City/State
❑iecrncai
License No.
License No.
OMechanical
Roofing
License No.
F
nn r n
ZZ
Fra i g
License No.
V
m
Plumbing
License No.
to
Concrete
License No.
TEAR OFF AND REROOF WITH 16 SQUARES.
E
(See reverse side for Inspection Description)
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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, aband ned or inspected within 180 days from the date of s ch r ,t or from the date of the last inspection.
Pr name of owner/agent ture to TOTAL FEES 56