HomeMy WebLinkAbout1928 W Lake St - Permits/Furnace - 02/26/200111 PERMIT FEES
Community Planning &Environmental Services BUILDING PERMIT
Building & Inspections Division
P.O. Box 580 281 N. College Ave. Building valuation
ah Fort Collins, CO 80522-0580
CifvofF Phone (970) 2'21-(760 Fax (970) 224-6134 60100898 � � ��
_ ACCOUNT FEE DATE P 1"
JOB SITE ADDRESS 1928 wLAKE ST PERMITDATE 02/26/2001 Building Permit w/o Subs $15.00 2/26/01
PERMIT TYPE PERMIT LEVEL CATEGORY TYPE
MECH Mechanical Alteration ISSU_FUL RESIDENTIAL
a
W
J
REPLACE FURNACE
0
W
0
0
reverse
cL FMM
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. 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 i9complete 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 a date of such permit or from the date of the last inspection.
Print name of owner/agent Signa ure Date