HomeMy WebLinkAbout555 Yuma Ct - Permits/Gas - Log, Line, Pipe - 11/18/2005Community Planning & Environmental Services
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 555 YUMA CT
HERMIT TYPE PER
MECH Mechanical Alteration
Last Name, First, Middle Initial
che MILLER, BARBARA K
w Address City/State
927 PTARMIGAN LN LOVELAND, CO
0 zip 80538 Phone No.
Front Setback Rear Setback
BUILDING PERMIT PERMIT
-} Building Valuation
B05050 f 2 00.00
ACCOUNT FEE SATE PAID
PERMIT DATE
1 1/18/2005 Building Permit W/o Sub $15 I 0 11/18/0
LEVEL
ISSU_FUL
0
Z Right Side Setback Left Side Setback
Z
2 Plat File No. ZBA Case Number Zoning District
Subdivision/PUD Filing
wLot Block Lot Area Parcel No.
9614107017
Company NameI Contractor License No.
Phone Supervisor CE
0O
Electrical
Ce Mechanical
Roofing
H
ZZ Framing
8
00 Plumbing
y KAHAR PLUMBING 8 HEATING
Concrete
ADD GAS PIPE FOR GAS RANGE
t—
License No.
License No.
License No.
License No.
License
pNo. of Stories
Group
Building Height
Footage I Stock Plan/Options
ee reverse side for Inspection Description)
GL 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 owner/agent
Signature
Date
CAL FEES15 t C f