HomeMy WebLinkAbout144 2nd St - Permits/Furnace - 11/30/2006Community Planning & Environmental Services
. m Building & Inspections Division
P.O. Box 580 281 N. College Ave.
Fort Collins, CO 80522-0580
City of Fort Collins
Phone (970) 221-6760 Fax (970) 224-6134
JOB SITE ADDRESS
PERMIT TYPE
PER
Last Name, First, a ni ial
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Plat File No.
Name
ZBA Case Number
Block
Lot Area
Contractor Lic
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City/State
Supervisor Can No.
License No.
License No.
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License No.
License No.
License No.
License No.
INSTALL 45,000 BTU FURNACE
Zoning
Parcel No.
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BUILDING PERMIT
Building Valuation
B0605567 ACCOUNT
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w No. of Stories
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Builtling Square
(See reverse side for Inspection Description)
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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.
Building Permit w10
FEE
� 15 .�00 11 J 30
name of owner/agent Signature Date I TOTAL FEES