HomeMy WebLinkAbout3836 Antelope Rd - Permits - 07/06/2001Community Planning &Environmental Services BUILDING PERMIT
PERMIT FEES
Building & Inspections Division
P.O. Box 580 281 N. College Ave.
Building valuation
Fort Collins, CO 80522-05803.dQ
City of Fort Collins
Phone (970) 2;21-6760 Fax (970) 224-6134 B0104076
ACCOUNT
FEE
DATE PAID
JOB
SITE ADDRESS 3836 ANTELOPE RD
PERMIT DATE 01/06/200 1
Building Permit w/o Subs
$15.0
1/6/0
PERMIT
TYPE MECH Mechanical Aheration
PERMIT LEVEL ISSU_FUL
CATEGORY TYPE RESIDENTIAL
Last NmFjr,St�ljddll3.Irli;it •ERESA
Construction Type
Occupancy Group
Z
Addres 836 ANTELOPE RD
city / State FT COLLINS, CO
0
O
No. of Stories O
Building Height Q
O
V
_
zip W528 Phone
No. 20&9M
Building Square Footage O Stock Plan/Options
Front Setback Rear
Setback
! 1 •
•'
Z
Right Side Setback Left
Side Setback
Z
• 11111 •
(See reverse side or Inspection Description)
Plat File No. Z�A Case Number
zoning District
Subdivision/PUD
Filing
0L FNN
Q
wLot
J
Block Lot Area Parcel No.
Name Contractor License No.
OCompany
Address
City/State
H
Z
Phone Supervisor Cart. No.
V
Electrical License No.
ADKISSON ELECTRIC, INC. ME-556
G
Mecha �t
1MATECH HEATING 8 A/C, INC.
License No.H-1426
Rooting
License No.
0
Framing
License No.
m
License No.
hPlumbing
Concrete
License No.
INSTALL AIR CONDITIONING
As
a condition for the issuance of a pemtit, 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 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 u ermit cr from the date of the last inspections.
J -"1
of owner/agent Signature Date " 10 " 0 1
TOTAL FEES
$15.
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