HomeMy WebLinkAbout1704 Brookhaven Cir W - Permits/Air Conditioner - 01/31/2000Plann
Community y & Environmental Services BUILDING PERMITI
PERMIT FEES
Building &Inspections Division
Inspections
P.O. Box 580 281 N. College Ave.
Building valuation $1 775.00
Fort Collins, CO 80522-0580 B0010389
F
tits of FoAConins phone (970) 221-6760 Fax (970) 224-6134
I
ACCOUNT
FEE
DATE PAID
JOB
SITE ADDRESS 1704 BROOKHAVEN CAR W NCO
PERMIT DATE
01131MOO
kitildingPortmYwt7"s
$15.00 _
1/31/2000
PERMIT
TYPE
PERMIT LEVEL
CATEGORY TYPE
MECH Mechanical Alteration
Issu
aEstoeratlAL
Last Name, First, Middle Initial
Construction Type
Occupancy Group
YARBER, BEVERLY N
Z
_
Address
1704 W BROOKHAVEN CR
city /S
VbRT COLLINS, CO
wp No. of stories
0
V
Building Height
O
Zry 80525 Phone
No.
Building Square Factege 0
Stock Phm/OptionsFront
Setback Rear
Setback
INSPECTIONSREQUIRED
Z
Right Side Setback Lek Side Setback
CALL 221-6769
Z
• tINSPECTIONS
Plat File No. ZBA Case Number Zoning DlslricY
SUbdlVI510NPUD Filing
ISee reverse si a or Inspection Description)
GL FNM
a
w
- - - -
- _ — -
`---'—
Lot Block Lot Area 0 ParceM4158004
Company Name Contractor License No.
OG
- -
--
- —
Address
Clry/state
Q
r
O
Phone Supervisor con. No.--
V
Electrical License No.
K
C
ec MFURNACE CO.
license rvoM827
_ - �-
- - - -
- --- - -
Floating
License No.
0
Framing
License No.
m
7
Plumbing
License Na
an
INSTALL AIR CONDITIONING
As
a con ion for the issuance of a permit, I hereby declare that 1 am an owner or the owner's agent, authorized to perform the proposed work on the property
describ
herein. I agree to comply with all 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 or incomplete 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 or from the date of the last inspection.
l-Y
0—yk --L/0. � imAi fjnoYcL
name of owner/agent Signature Date
TOTAL FEES
Print
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