HomeMy WebLinkAbout1116 Lake Pl E - Permits/Furnace - 11/08/2005I PERMIT FEES
Community Planning &Environmental Services BUILDING PERMIT
Building & Inspections Division
ift P.O. Box 580 281 N. College Ave. Building Valuation
Fort Collins, CO 80522-0580 �Q
City of Fort Collins phone (970) 221-6760 Fax (970) 224-6134 60506646
ACCOUNT FEE DATE PAID'
JOB SITE ADDRESS 1116 LAKE PL E PERMIT DATE n r
1 1 /08/�OOa Building Permit w/o Subs $15.10 11/8/05
PERMIT TYPE PERMIT LEVEL CATEGORY TYPE
MECH Mechanical Alteration ISSU_FUL Residential
Last Name, First, Middle Initial Construction Type Occupancy Group
ix SULLIVAN, BARBARA B
LU Address
1116 E LAKE PL
O zip 80524-4212
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Address
Setback
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Mechanical
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NORTH. COLORAQO AIR
Roofing
Framing
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Plumbing
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Concrete
REPLACE FURNACE
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FORT COLLINS, CO
Rear Setback
Left Side Setback
ZBA Case Number
Block I Lot Area
District
Parcel No. 9713408125
License No.
H 837
License No.
License No.
ONo. of Stories Building Height
V Building Square Footage I Stock Plan/Options
gee reverse side for Inspection Description)
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.
Print name of
Date