HomeMy WebLinkAbout636 Cheyenne Dr - Permits/Furnace - 11/20/2006Community Planning &Environmental Services BUILDING PERMITPERMIT FEES
Building & Inspections Division
�i P.O. Box 580 281 N. College Ave. Building valuation
Fort Collins, CO 80522-0580
CityCityofF� phone (970) 221-6760 Fax (970) 224-6134
B0605400 ACCOUNT I FEE t DA VPAID
JOBSITE ADDRESS PERMIT DATE
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Right Side Setback Left Side Setback
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Plat File No. ZBA Number
Case Zoning District
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Subdivision/PUD
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Company Name
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License
REPLACE FURNACE
Inspection Description)
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.
Print name
Date
TOTAL FEES