HomeMy WebLinkAbout1919 Avery Ct - Permits/Gas - Log, Line, Pipe - 10/02/2006Community Planning& Environmental Services BUILDING PERMITPERMIT
Building Inspections
FEES
i' & Division
P.O. Box 580 281 N. College Ave.
Building Valuation
Fort Collins, CO 80522-0580
cifv°fF� ° Phone (970) 221-6760 Fax (970) 224-6134 B060464$
ACCOUNT
FEE
DATE PAID
JOB
SITE ADDRESS
PERMIT DATE
10,102-2006
Building Permit w/o Sub
1
$15..
_.. ..
0 10/2/0
PERMITTYPE
LighterGas Log - Gas
PERMIT LEVEL
CATEGORY TYPE
Last Name, First, d e ni is
or uction Type
Occupancy Group
Z
Atldres
City/State
in No. of Stories
Building Height
O
O
Zip
Phone No.FGFFF GO
Building Square Footage
Stock Plan/Options
Front c Rear Setback
Z
Right Side Setback Left Side Setback
Z
• •
N
Plat File No. ZBA Case Number Zoning District
Subdivision/PUD Filing
(See reverse side for Inspection Description)
OL LC
wLot
J
'
Block Lot Area Parcel No.
Name Contractor License Po.
OCompany
Addre ' I n r FIREEPLAff u u r City/State Fe 44
OPhone
SPRINGS,
I Ob " + v Supervisor Cert. No.
V
� n
Electricall 9 License No.
i
Mechanical
License No.
Roofing
License No.
Z
Framing
License No.
V
m
Plumbing
License No.
en
Concrete
License No.
REMOVE EXISTING WOOD BURNING FIREPLACE AND INSTALL NEW DIRECT VENT GAS FIREPLACE
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. l 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.
G.,..aa/�:%/ G� o _ z -oG
TOTAL FEES
5
D
i
name of own r/agent Sig ature Date
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