HomeMy WebLinkAbout636 Cheyenne Dr - Permits/Air Conditioner - 03/21/2006Community Planning & Environmental Services
PERMIT FEES
Building & Inspections Division BUILDING P E RM I T
P.O. Box 580 281 N. College Ave. Building valuation
Fort Collins, CO 80522-05 80
City of Fort Collins phone (970) 221-6760 Fax (970) 224-6134 B 0 6 010 9 8 1
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DATA IPAID'
ACCOUNT FEE
SITE ADDRESS 636 CHEYENNEDR12 PERMIT DATE ,/,, 2 9 $15,
C)� � 1 /�OC3E� Building Permit w/o Sub
TYPE PERMIT LEVEL CATEGORY TYPE
MECH Mechanical Alteration ISSU_FUL Residenti
Last Name, First, Middle Initial
FEATS, BOB Construction Type Occupancy Group
JOB
0 3/21/0
PERMIT
Ix
Address City/State Uj
In No. of Stories Building Height
636 CHEYENNE DR #12 FORT COLLINS, CO p
O
71p 80525 Phone No. U Building Square Footage Stock Plan/Options
377-0469
0
Front Setback Rear Setback
Z
Z
Right Side Setback Left Side Setback
2
Plat File No.
ZBA Case Number Zoning District (See reverse side for Inspection Description)
Subdivision/PUD Filing C L F N M
Q
Lot Block Lot Area
Parcel No.
9724238041
Company Name Contractor License No.
O
Address
City/State
Phone Supervisor Cert. No.
U
Electrical License No.
AAMPCO ELECTRIC ME 407
IX
0
Mechanical License No.
POUORE VALLEY AIR H 835
Roofing License No.
OFraming
License No.
U
EQ
Plumbing License No.
kn
Concrete License No.
INSTALL A/C
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
As a
described
herein. 1 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 Tt7TAl FEES $15
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