HomeMy WebLinkAbout1512 Sioux Blvd - Permits/Mechanical - 04/27/2006Community Planning &Environmental Services
GAN Building & Inspections Division BUILDING PERMITPERMIT
P.O. Box 580 281 N. College Ave.
=111M 6aFort
Building valuation
Collins, CO 80522-0580
City of Fort Collins phone (970) 221-6760 Fax (970) 224-6134 gl 0 6 018 8 0
ACCOUNT
FEE
DATE PAID
JOB
SITE ADDRESS
PERMIT DATE
�5�2 SIOUX9LVD
0�r 272U06
Building Permit W/o Subs
$30.
0 4/21/C
PERMITTYPE
PERMIT LEVEL
CATEGORY TYPE
MECH Mechanics! Alteration
ISSU FUL
R®sid®ntia
Last Name, First, Middle Initial
Construction Type
Occupancy Group
oC
uu
3
O
Address
City/State
No. of Stories
Building Height
FORT COLLINS CO
V
Zip
Phone No.
Building Square Footage Stock Plan/Option s
80526
988-7478
Front Setback
Rear Setback
,
Z
• • • •
Right Side Setback
Left Side Setback
Z
Plat File No. ZBA Case Number
Subdivision/PUD
Zoning District
Filing
(See reverse side for Inspection Description)
F 0 E P, E E n
J
w
J
Lot Block Lot Area Parcel No. 9727417003
Name Contractor License No.
OCompany
Address City/State
Z
0
Phone Supervisor Cert. No.
Electrical License No.
W
EL'GIRIC INC ME 724
Mechanical
License No.
G
COLLINS HEATING I AIR
209
Roofing License
No.
Framing License
No.
V
cc
Plumbing License
No.
N
Concrete License
No.
REPLACE FURNACE AND A/C
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
$30