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Home My WebLink About622 9TH ST - PERMITS - 7/1/2010Ft Collins Site Address 622 9TH ST Job Valuation $1,600 00 Category Residenbal Owner RODRIGUES LUPE M 616 9TH ST FORT COLLINS CO 80524 2523 Community Development & Neighborhood Services 281 N College Ave FortCollins CO 8o522 970 221 6760 97o 224 6134 -fax Phone 484 8495 Building Permit # B1004162 Issued Full 07/01/2010 Permit Type Residential Roofing Zoning Front setback Rear setback Right setback Left setback Minor Amend # Plat File # ZBA Case # Zoning district RL LOW DENSITY RESIDENTIAL DISTRICT Legal Subdivision/PUD Code Res sq ft # of stones Fire Sprklr Contractor _ Com sq ft _ _ Occ Group _ Stock plan # r, �, W CJ Filing # Lot # Block # _ Ind sq ft _ Const Type _ Stock plan options License # 6 1 r Phone Basement sq ft Supervisor cert # C Subcontractors)—� Phone License Number Q on r � � Work Description TEAR'OFF TO DECK VENTILATION HOMEOWNER TO DO WC PHALT SHINGLES PROVIDE REQ II " SCHEDULE INSPECTIONS '' By Phone 221-6769 ' By Web http //aaweb fcgov com/CitizenAccess" �I Ins ections RF TOTAL FEES PAID AS OF 07/01/10 56 90 Payment method Cash Fee Detafl Displayed on Next Page As a condition for the issuance of a permit I hereby declare that I am the owneror owners agent authorized to perform the proposed work on the property described harem I agree to oomply with all the requirements oontamed herein and 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 incited mfonnation This permit shall become null and void d the work authorized by such permit is riot commenced suspended abandoned or not inspected within 180 days from the date of such permit Signature `" �� + Print Name Date � J �- Form Revised May 201 � J ` v Community Development & Neighborhood Services 281N College Ave Fort Collins CO80522 97o 221 676o 97o 224 6134 fax Budding Permit # B1004162 Issued Full 07/01/2010 Permit Type Residential Roofing Amount Paid Comments $56 90 LUPE RODRIGUES CASH $56 90 Fee Amount Amount Paid Date Paid Amount Due $26 50 $26 50 07/01/2010 $0 00 $24 00 $24 00 07/01/2010 $6 40 $6 40 07/01/2010 90 $56 90 $0 00 $0 00 $0 00 F,rt Collins Site Address 622 9TH ST Job Valuation $1,600 00 Category Residential Transactions Method Check Number Date Paid Cash 07/01/2010 Receipt issued 07/01/2010 Total Paid to Date Fee Description Account Code Building Permit Fee Without 1000422010 Subs City Sales/Use Tax 251 122030 County Sales/Use Tax 100 217030 TOTAL FEES C��