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PERMIT M-60-00 1575 Fall River Rd, remodel 2000-08-09
JUL i 7 2000 IpCiga TOWN OF ESTES PARK MISCELLANEOUS PERMIT 970-586-5331, ext. 3402 or ext. 3408 COMMUNH I Y UtVtLU MENFor small plumbing, mechanical, roofing jobs not requiring plans) DEPARTMENT JOB STREET ADDM: /6- 7. ��//Arlo 4'T /?d LEGAL DESCRIPTION: PARCEL ID#: 3623 30000 9 OWNER NAME: Jv%n 1e j/n ,"A py) OWNER MAILING,rADDRESS: i5-- 7� Fa /! C vJr /eel Town State Zip OWNER TELEPHONE #: 8701 5`7 7.--76V/ CONTRACTOR NAME: -'! W,'% TOWN BUSINESS LICENSE #: CONTRACTOR MAILING ADDRESS: Town State CONTRACTOR PHONE #: ( ) DESCRIPTION OF WORK:, Date M- th©-rip FOR OFFICE USE ONLY Type of Construction: I-FR II-FR H 1-HR II-N III 1-HR III-N IV HT V 1-HR Occupancy Group A,B,E,F,H,I,M Division 1, 2, 2.1 S 4, 5, 6, 7 Census Bureau #: ya`/ Valuation of Work: $ Building Permit Fee: $ Larimer County Tax: $ TOTAL FEES DUE: $ /63. Zs" 32, cro /8S.2s� Zip CLASS OF WORK: Valuation of Work: $ 10 00 I hereby acknowledge that I have read this Application and state that the above is correct and agree to comply with all Town Ordinances and State Laws, regulating building construction and zoning. ALTERATION REPAIR The Building Department will make every effort to prevent errors in your Application and Permit, but cannot be responsible for your failure to comply with all Building, Zoning and other applicable Codes. 6p Building Official ' gnature evised: August 31, 1998 Date Building \forrns \inisc_ per wpd