HomeMy WebLinkAboutPERMIT 1340 Big Thompson Ave Floor Sink 2003-07-09PARCEL ID#:
OWNER NAME:q p qjr
OWNER MAILING ADDRESS:/LE4 Pc4 cO si )
Town State Zip
OWNER TELEPHONE #:(970 )c ‘13 7G
CONTRACTOR NAME:
,4/P ‘c 1r’
Town State Zip
CLASS OF WORK:CONTRACTOR PHONE #:((770 )
o ,r Ct
Valuation of Work:$/‘2ô’
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./i,7 ..3
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.
TOWN OF ESTES PARK
MISCELLANEOUS PERMIT M-32O
970-577-3722 or 970-577-3728
(For small plumbing,mechanical,roofing jobs not requiring plans)
JOB STREET ADDRESS:Date 7 -O
/3 q &j/r-j.c,
LEGAL DESCRIPTION:FOR OFFICE USE ONLY
Type of Construction:
I-FR Il-FR II 1-HR Il-N III 1-HR
Ill-N IV HT V 1-HR V-N
Occupancy Group
A.B,E,F,H,I,M,R,S,U
Division
1,2,2.1,3,4,5,6,7
TOWN BUSINESS LICENSE #:
CONTRACTOR MAILING ADDRESS:
Census Bureau #:
Valuation of Work:
Building Permit Fee:
Larimer County Tax:
TOTAL FEES DUE:
S /1aZo
c7,&5
5’-S
DESCRIPTION OF WORK:ALTERATION
I,,‘c/-c:/<-‘T pJ ,A REPAIR/“rJ5”L.D 3 C-a -
Building Offici,1 Signature Date
7--t7 3
Pe rmittee Signature Date i’’visc’(i:nH 10,200 iBuiiding\Forms\Misc Bldg Permit Ap