HomeMy WebLinkAbout630 Peterson St - Permits/Furnace - 11/30/2006Community Planning & Environmental Services
Building & Inspections Division
�- P.O. Box 580 281 N. College Ave.
Fort Collins, CO 80522-0580
CityCity°fP phone (970) 221-6760 Fax (970) 224-6134
JOB SITE ADDRESS
P
BUILDING PER
Building Valuation
80605561 ACCOUNT
ER
MIT TYPE PERMIT LEVEL CATEGORY TYPE
Last Name, First, Middle Initial Consliuction Type Occupancy Group
W Address
City/State Wp No. of Stories Building Height
O
O Zip I Phone No. FORT I I INS. CO U Building Square Footage I Stock Plan/Options
Z Right Side Setback Left Side Setback • • •
Z I TO SCHEDULE INSPECTIONS
rJ Plat File No. ZBA Case Number Zoning District (See reverse side for Inspection Description)
J Subdivision/PUD Filing u t f N N
Q
wLot Block Lot Area Parcel No.
Address
r
Phone
Mecnanroal
License No.
GT
c r n
409
Roofing
License No.
Framing
License No.
0
U
00
Plumbing
License No.
N
Concrete
License No.
FURNACE REPLACEMENT
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 w/o
FEE
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Print name
TOTAL FEES