HomeMy WebLinkAbout2507 Antelope Rd - Permits/Furnace - 03/21/2006Community Planning &Environmental Services
Building & Inspections Division BUILDING PERMITPERMIT
FEES
P.O. Box 580 281 N. College Ave.
Building valuation
Fort Collins, CO 80522-0580
City of Fort Collins phone (970) 221-6760 Fax (970) 224-6134 B 0 6 0 11 1 0
ACCOUNT
FEE
d�� PAID
SITE ADDRESS PERMIT DATE
JOB
PERMIT
2507 ANTELOPERD 0321 2006
TYPE
Building Permit w/o Sub
$15.
0 3J21/0
PERMIT LEVEL CATEGORY TYPE
MECfi Mechanics! Alteration ISSU FUL Residenti
Last Name, First, Middle Initial Construction Type Occupancy Group
w
3
Address CLU
ity/State in No. of Stories Building Height
M7 ANTELOPE
RD FORT COLLINS CO
Zip Phone No. O
80525-3547 295-5805 Building Square Footage Stock Plan/Options
Front Setback
Rear Setback
0
Z
Z
Right Side Setback Left Side Setback
2
Plat File No. ZBA Case Number Zoning District
SubdivisioNPUD Filing
(See reverse side for Inspection Description)
CL fNM
Q
wLot
Block Lot Area Parcel No.
8732209008
O
Company Name Contractor License No.
Address City/State
ZPhone
Supervisor Cert. No.
V
Electrical License No.
OMechanical
License No.
C
._ r n
Roofing
License No.
H
Z
Framing
License No.
V
SO
Plumbing
License No.
N
Concrete
License No.
REPLACE FURNACE
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.
name of owner/agent Signature Date
Print
TOTAL FEES
$i5