HomeMy WebLinkAbout5225 Clarendon Hills Dr - Permits/Mechanical - 10/25/2006_ Community Planning & Environmental Services BUILDING P E RM I TPERMIT
Building & Inspections Division
FEES
1, P.O. Box 580 281 N. College Ave.
Building Valuation
Fort Collins, CO 80522-0580
Cityof Fort Collins phone (970) 221-6760 Fax (970) 224-6134 B0605048
r
ACCOUNT
FEE
DATE PAID
JOB
SITE ADDRESS522,
PERMIT DATE
/n f• n
—.Building ..F2TfB.ia iljo Sllu
I r.. ... _
- --- $15..
_- _ ---
U.0 10/.2.5I0
PERMIT
TYPE
kAj7r,H Mechanical Alteration
PERMIT LEVEL
IC
CATEGORY TYPE
Last Name, First, Middle Initial
ConsTruction Type
Occupancy Group
Z
VHERRIT-TIRENE
Address
City/State
wp No. of Stories
Building Height
3
6225 II HILLS OR
FORT COLLINS,U
0
O
_.
Zip
Phone No.
Building Square Footage"Plan/OptionsFront
Setback
Rear Setback0
ZRight
Side Setback Lek Side Setback
Plat File No. ZBA Case Number Zoning District
(See reverse side for Inspection Description)
Gl fNM
a
Subdivision/PUD
Filing
wLot
-
--�
Block
Lot Area
Parcel No.
n nnn
OCompany
Name
Contractor License No.
G
n n T In Ain.
U.
Addres '
City/State 11302
r c r rt
t o C A i n
7
_
Phone Supervisor Cert. No. r
U
n c7c
Mechanical
License No.
O
H
Roofings L LINE
License No.
H
ZO
Framing
License No.
U
'a
Plumbing
License No.
N
Concrete I License No
INSTALL HEAT PUMP SYSTEM WITH DUCT WORK
I
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.
Print name of
Signature
TOTAL FEES