HomeMy WebLinkAbout400 Albion Way - Permits/Mechanical - 10/12/2000Community Planning & Environmental Services BUILDING P E RM I T
' Building & Inspections Division
P.O. Box 580 281 N. College Ave. riunding valuation $4•800.00
Fort Collins, CO 80522-0580 80016036
�ftrofF Phone (970) 221-6760 Fax (970) 224-6134
'ACCOUNT FEE DATE PAID
JOB SITE ADDRESS 400 AL wN WAY FTOD PERMIT DATE 1011211000
*Aft Pa" w0)9ub• $30.00 10/12
PERMIT TYPE PERMIT LEVEL CATEGORY TYPE
MECH M�chanicalAlNr�oion 18'�J.j�,. FEBDENiaL
Last Name, First, Middle Initial Construction Type Occupancy Group
Z Address F City / State p No. of Stories Building Height
34W ALBION WAY FORT 00I.L.W. 00 0
0 Zip Phone No. VBuilding Square Footage Stock Plan/Options
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Front Setback
Rear Setback
REQUIRED INSPECTIONS
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Right Side Setback Left Side Setback
CALL 221-6769
TOSCHEDULEINSPECTIONS
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Plat File No. ZBA Case Number Zoning District
(See reverse side or Inspection Description)
GL FW
Subdivision/PUD
Filing
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wLot
Block
Lot Area 0
Parcel P1g.__111
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Name
Contractor License No.
OCompany
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Address
City/State
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OPhone
Supervisor Cert. No.
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Electrical
License No.
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Mechanical
License No.
AM
M-142E
Roofing
License No.
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0
Framing
License No.
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Plumhinc
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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 wqrk. 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 tl adet1 rof such permit or from the date of the last inspection.
J.
Print name of owner/ gent Sign ture Date