HomeMy WebLinkAbout4144 S TIMBERLINE RD - PERMITS - 8/8/2005Community Planning &Environmental Services BUILDING PERMIT �
Building & Inspections Division
P.O. Box 580 281 N. College Ave. Building valuation
Fort Collins, CO 80522-0580 B 0 5 0 `1 3
City of Fort Collins � � � +�.. � � � . U l�
Phone (970) 221-6760 Fax (970) 224-6134
ACCOUNT. FEE SATE PAID
JOB SITE ADDRESS PERMIT DATE iC� i an Uhecee
PERMIT TYPE n ixe itlon PERMIT LEVEL CATEGORY rNWicalluental ChnICs Building Persit M/ Subs $1,880.5 6/28/05
LastNARTI:ORDCONSTRUCTCORP Construction Type Occupancy Group g City Sales/Use Tax $71256.216/28/05
Z Add HARLIEATWOOD Icity/statet218 WASH SUITE t No. of Stories Building Height 0 County Sales/Use Tax $1,935.0 6/28/05
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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, 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
Date TOTAL FEES .