HomeMy WebLinkAbout2917 Stanford Rd - Permits/Furnace - 09/28/2006I!-
Community Planning &Environmental Services B lJ l LD I N G PERMIT
PERMIT FEES
I , Building & Inspections Division
_J _.. ' I P.O. Box 580 281 N. College Ave.
Buildin Valuation
g
Fort Collins, CO 80522-0580
Phone (970) 221-6760 Fax (970) 224-6134 B060459
ACCOUNT
FEE
DATE PAID
JOB
SITE ADDRESS
PERMIT DATE
2917 STANFORDRD
i 28 "'G05
Building Pernit w/o Sub
$15.
0 9/28/0
PERMIT
TYPE
PERMIT LEVEL
CATEGORY TYPE
MECH Mechanical Alteration
ISSU FUL
Reslidentic
I
Last Name, First, Middle Initial
Construction Type
Occupancy Group
Z
Address
City/State
p No. of Stones
Building Height
3
O !N CO
V
_
-
Zip Phone
No.
Building Square Footage Stock Plan/Options
O
80525-2518
226-1307
Front Setback Rear
Setback
Z
Right Side Setback Left Side Setback
Z
• •
Plat File No. ZBA Case Number Zoning District
Subdivision/POD Filing
(See reverse side for Inspection Descriptions
CL fNl'1
J
wLot
J
Block Lot Area Parcel No.
Company Name Contractor License No.
1,211
Address City/State
F
Z
OCJ
FORT COU114S- COF
Phone Supervisor Cert. No.
91A 223 ti813
Electrical License No.
_
Mechanical _
License No.
CiRoofing
License No.
Z
0
Framing
License No.
m
7
Plumbing
License No.
Concrete
License No.
REPLACE FURNACE
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 inspected within 180 days from the date of such permit or from the date of the last inspection.
name of owner/agent Signature Date
TOTAL FEES
$15.
0
Print