HomeMy WebLinkAbout116 Lyons St - Permits/Mechanical - 08/15/2006Community Planning & Environmental Services
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Building & Inspections Division
P.O. Box 580 281 N. College Ave.
Fort Collins, CO 80522-0580
city of Part callins phone (970) 221-6760 Fax (970) 224-6134
SITE ADDRESS
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Plat File No.
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License No.
REPLACE FURNACE AND DUCT WORK
BUILDING PERMIT
B0603931
PERMIT DATE
0
0
Occupancy Group
(See reverse side for Inspection
Building Valuation
ACCOUNT FEE
Building Permit u/o Subs $15
City Sales/Use Tax $84
County Sales/Use Tax $22
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 permi or from the date of the last inspection.
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Print name of owner/agent Signature -- Date TOTAL FEES
8/15/0
8/15/0
8/15/0