HomeMy WebLinkAbout122 E Lincoln Ave - Permits/Furnace - 11/19/1992DEVELOPMENT SERVICES/BUILDING PERMITS & INSPECTIONS DIVISION
P.O. BOX 580, FORT COLLINS, CO 80522-0580
4 221-6769
e BUILDING PERMIT
JOB SITE ADDRESS 122 E LINCOLN AVE
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MECHANICAL AL ERITION S1N6LE FAMILY DETACHED
w WoR V,d Use Use Zone Permit Level
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Building Valuation
Bbck Parcel No ACCOUNT
Fo,o DAVID " BLDS PERMIT FLAT
E LINCOLN AVE OW FT COLLINS CITY - SALES USE TA
zip 80524 PhoneNo,
Contractor License No
-URNACE CO. 5-829
SMOKEY ST. C,ty FT COLLINS sta.CO
Phone Saks Tax No
226-3619 16077
2491
FEE DATE PAID
15.00
t3.00
mng square mo'age u' —... 1 e" `-1 TOTAL FEES
15.00
Occupant Load Occupancy Separation Area Separation Fl. Containment
No. of Dwelling Umu No. of Bedrooms No. of Bathrooms Fi,eplece/Stoves Basement Stock Wan Options
'FURNACE REPLACEMENT
No. 0923250 ,v- Ive'WEMBER 19, 1992
As a condition for the issuance of a permit, 1 hereby declare that 1 am an owner
or the owner's agent, authorized to perform the proposed work on the property
described herein. I agree to comply with all the requirements contained 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 incorrect
information. This permit shall become null and void if the work authorized by
such permit is not commenced, suspended, abandoned, or not inspected within
180 days from the date of such permit.
DEPARTMENT
DATE
Ele
Me
i
LEFT
SITE SETBAC'
REAR
FRONT
CALL 221-6769
TO SCHEDULE INSPECTIONS
(See reverse side for
Inspection Description)
19FlQ 2 AA 41$15.00
56
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