HomeMy WebLinkAbout1517 Lakeside Ave - Permits/Mechanical - 05/06/1993DEVELOPMENT SERVICES/BUILDING PERMITS & INSPECTIONS DIVISION
P.O. BOX 580, FORT COLLINS, CO 80522-0580
221-6769
BUILDING PERMIT
JOB SITE ADDRESS
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Permit Tvpe
Work Type Category Type
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Proposed Use
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Use lone PermitRESIDENTIAL
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Subdivision PUD Filing
Subdivision/PUD
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Building Valuation
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Lot
Block.
Parcel No,
ACCOUNT
Last
First
M.I.
RAVE
A
W
CITY SALESBLDG USE
USETA
—COLLINS
Manias dress
City
2
3
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State
Tip
Phone No.
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company Name
Contractor License No.
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S-855
Address
City
State
439 LINK LANE
FI C N
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Zip
Phone
Sales Tax No.
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FEE DATE PAID
15.00
0.00
[Building Square Footage INo. of Stories I81dg Height I TOTAL FEES I . _ a _
MOccupant Load Occupancy Septation A
O
3
LL No. Of Owolling Units No. of Bedrooms No. of Bathrooms Fireplace/Stov¢s Si
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Z
O Text:
a REPLACE FURNACE EXTEND GAS LINE FOR A GAS LOG
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No. IPermit Date
As a condition for the issuance of a permit, I hereby declare that I am an owner
or the owner's agent, authorized to perform the proposed work on the property
described herein. 1 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
Containment
k Plan
STATUS I DATE
LEFT
File N.
SITE SETBACKS
REAR
FRONT
CALL221-6769
TO SCHEDULE INSPECTIONS
(See reverse side for
Inspection Description)
Mechanical
00
00
SALESTAX.