HomeMy WebLinkAbout5209 Country Squire Way - Permits/Air Conditioner - 03/21/2006� Community Planning &Environmental Services BUILDING . PERMIT,
PERMIT FEES
�. m � .. Building & Inspections Division
�- 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 Bi 0 6 0 1 113
ACCOUNT FEE DAA
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JOB SITE ADDRESS 5209 COUNTRY SQUIRE WAY PERMIT DATE03/21/200,6 Building Permit w/o Sub $15. 0 3/21/0
PERMIT TYPE PERMIT LEVEL CATEGORY TYPE
MECH Mechanical Alteration ISSU_FUL Reside ntta ,
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Last Name, First, Middle Initial Construction Type Occupancy Group
LANS,FRANK/JENNIFER
Z Address City/State wp No. of Stories Building Height a 9
3 5209 COUNTRY SQUIRE WAY FORT COLLINS,CO O
Zip Phone No. U Building Square Footage Stock Plan/Options�� m �_.��
80123 581-0660 n
Z
Right Side Setback
Left Side Setback
Z
Plat File No.
ZBA Case Number
Zoning District
4
J
Subdivision/PUD
Filing
Q
wLot
Block
LoIITa
Parcel No.
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4
3
3605465004
OCompany
Name
Contractor License No.
QAddress
City/State
Phone
MOUNIAIN PLAINS ELECTRIC I ME 758
jX Mechanical License No.
0 REO LINE HEATING I4 AIR H 1302
Roofing License No.
H
Z Framing License No.
U
m Plumbing License No.
N
INSTALL CENTRAL AIR CONDITIONING
(See 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 owner/agent
Signature
Date