HomeMy WebLinkAbout2614 Country Squire Ln - Permits/Air Conditioner - 06/19/2006Community Planning & Environmental Service
Building & Inspections Division
P.O. Box 580 281 N. College Ave.
Fort Collins, CO 80522-0580
c;t, ofFocons phone (970) 221-6760 Fax (970) 224-6134
JOB SITE ADDRESS 2614 COUNTRY SQUIRE LN
PERMITTYPE MECH Mechanical Alteration PE
Last Name First Middle Initial
0::B�CKER, BRUCE
Z Address City/State
726 E ELIZABETH ST FORT COLLIN
0 Zip 80524 Phone No.
482-3487
Front Setback Rear Setback
0
Z Right Side Setback Left Side Setback
Z
Plat File No. ZBA Case Number Zoning District
Subdivision/PUD Filing
a
w Lot 19 Block Lot Area Parcel No. R fi n 5
J
Rine Compan Name
hZORTH. COLORADO AIR
Address
812 STOCKTON AVE
O Phone 910 223 8873 st,pE
V
Electrical
OLANZ ELECTRICAL CONT
13e Mechanical
o NORTt1. COL0RAv0 AIR
Roofing
H
Z Framing
0
V
Plumbing
rn
Concrete
ADD AIR CONDITIONING
W
I —
Contractor License No.
N 837
City/State
FORT COLLINS, CO
License No.
License No.
License No.
License No.
License No.
M
BUILDING PERMIT
Building Valuation
130602912
ACCOUNT
PERMIT DATE
06/ 19/2005 Building Permit w/o
S
ISSU_FUL
RMIT LEVEL CATEGORY TYPE
Construction Type Occupancy Grc
wp No. of Stories Building Height
, CO O
Building Square Footage Stock Plan/Options
19 (See reverse side for Inspection Description)
CL FNM
Afi7n1Q
805
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.
FEE DATE PAID
$15.00 6/19/0
Print name of owner/agent Signature
TOTAL FEES I