HomeMy WebLinkAbout436 Baylor St - Permits/Mechanical - 11/17/2006Community Planning &Environmental Services BUILDING PERMITPERMIT FEES
Building & Inspections Division
P.O. Box 580 281 N. College Ave. Building valuation
Fort Collins, CO 80522-0580
CitvofF� Phone (970) 221-6760 Fax (970) 224-6134
B0605399 ACCOUNT I FEE DATE PAID
3 SITE ADDRESS
TYPE
Last Name, First,
S77w Addres
O Zip
Front Setbac
Z Right Side S
Z
Plat File No.
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0
G
Z
z
0
v
m
N
ZBA Case Number Zoning Di:
Filing
Block Lot Area Parcel No.
Contractor License No.
2
City/State
COLLINS
Supervisor Cert. NoI FOP;.
License No.
License No.
REPLACE FURNACE AND WATER HEATER
Q
reverse
CL FNM
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.
By Aiq P mlib w/o
Print name of owner/agent
TOTAL FEES