HomeMy WebLinkAbout800 Main St - Permits/Furnace - 09/28/2001Community Planning & Environmental Services
Building & Inspections Division
P.O. Box 580 281 N. College Ave.
Fort Collins, CO 80522-0580
cityotF� Phone (970) 221-6760 Fax (970) 224-6134
JOB SITE ADDRESS
PERMIT TYPE MECH MI
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'tau MAIN STREET IUIL 'TORT COLLINS, CO
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2 Plat
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BUILDING PERMIT
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Lot Block Lot Area 0 Parcel No.
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1'�'tlI'IJMS PEAK ENERGY CONSERV I "`°""'"" H-1422 II
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111161EA
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PERMIT DATE
WID
Building Valuation
ACCOUNT
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 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 ays from the date of such p mit or from the date of the last spection.
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Print name of owner/agent Signature D e TOTAL FEES
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FEE I DATE P,