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br'yt CoI1111. 281 N. College Ave
Fort Collins, CO 80522
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BURWELL KELLY MARIE
816 E LAKE ST
FORT COLLINS, CO 80524-4206
100-804100-549110
Date: September 10, 2015
Permit Number: B1503358
Job Address: 816 E LAKE ST.
Type of Work:' Tear off shingles down to deck.. Re -roof 30 squares
with Owens Corning Oakridge..shingles. Provide
required attic ventilation. Ice and water guard..
required. Install shingles per manufacturer's high -wind
specifications.1 story. Using. own employees.
Contractor or
Owner/Address: BURWELL KELLYMARIE
816 E LAKE ST
FORT COLLINS, CO 80524-42o6
The work authorized under the above permit has been inspected for conformance with
applicable codes of the City of Fort Collins.
Building Department: