HomeMy WebLinkAboutPERMIT 585 Audubon St Porch 1998-11-05Zip Town State
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Town State
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Zip CLASS OF WORK:
Building Official S ignature
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Date
TOWN OF ESTES PARK
MISCELLANEOUS PERMIT
970-586-5331, ext. 3402
(For small plumbing, mechanical, roofing jobs not requiring plans)
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( NOV 0 5 1998
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JOB STREET ADDRESS:
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LEGAL DESCRIPTION:
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PARCEL ID#: 3 5- P.53Z Zo
OWNER NAME: .111-7176-s' 7% Cci;e/ /*/ S
OWNER MAILING ADDRESS:
Ski /1 04 ve0A/ Jr
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OWNER TELEPHONE #: 5-r`"17 7 8'
CONTRACTOR NAME:
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TOWN BUSINESS LICENSE #: g 7/
CONTRACTOR MAILING ADDRESS:
3//6 C4VA Jr Sr 64e-eAzs
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CONTRACTOR PHONE #: (770) S Y
DESCRIPTION OF WORK:
/ftWOOSZ "0"eC/7' A/CZ Os ciitoe•-
Valuation of Work: $ /cc ov17
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.
Revised: June 11, 1998 Buildioeforms\misc_per.wpd Permittee Signature Date
FOR OFFICE USE ONLY
Type of Construction:
1-FR II-FR 1-HR II-N 1-HR
III-N IV HT V 1-HR
Occupancy Group
A. B, E, F, H, I, M
Division
1, 2, 2.1, 4, 5, 6, 7
Census Bureau #: Y.P/
Valuation of Work: $ .16-; 0-0-19
Building Permit Fee: $ 2 57 2
Larimer County Tax: $ t. 7 S-
TOTAL FEES DUE: $ cer3
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