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618 Ponderosa Dr - Permits/Mechanical - 09/27/2012
Site Address: 618 PONDEROSA DR Job Valuation: $6,910.00 Category: Residential Owner: BENNETT JACK E 17305 RED BANK RD RED BLUFF, CA 96080-9370 Community Development &r Neighborhood Services 28i N. College Ave Fort Collins, CO 80522 970.221.676o 970.224.6134 -fax Building Permit #: B1205431 Issued Full: 09/27/2012 Permit Type: Residential Mechanical Phone: 970-946-4234 Zoning: Front setback: Rear setback: Right setback: Left setback: Minor Amend M Plat File #: ZBA Case M Zoning district: LMN - LOW DENSITY MIXED -USE NEIGHBORHOOD DISTRICT Legal: Subdivision/PUD: Code: Res sq ft: # of stories Fire Sprklr: Filing #: Lot M Block* Com sq ft: Ind sq ft: Basement sq ft: Occ Group: Const Type: Stock plan #: Stock plan options: Contractor' AIR MASTERS LLC: v .. License #: H-1494 Supervisor cart #: 940 W. 7TH ST, LOVELAND, C '`80537 \ Phone: 970 532-7618 Subcontractors) - , ` Phone License Number Mechanical: AIR MASTERS LLC 970-532-7618 ❑ H-1494 /111--l-�:1\'/�-_- O Ob ns Work Descriation: CHANGE OUT FURNACE, ADD ON -AIR CONDITIONER SCHEDULE INSPECTIONS: *** By Phone: 970-221-6769 *** By Web: http://amos.fcgov.com/CitizenAccess ***By Mobile Device: hftp://amos.fcgov.com/CitizenAccess/amca/ Ins ections: GL FNM FNP FNE TOTAL FEES PAID AS OF 09/27/12: $50.00 Payment method: Trust Account Fee Detail Displayed on Next Page As a condition for the issuance of a permit, I hereby declare that I am the owner or owner's agent, autlwrbzed to perform the proposed work on the property described herein. I agree to comply with all the requirements contained herein, and 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 incored inf6muitim. This permit shall become null and void if the work authatmcl by such permit is riot commenced, suspended, abandoned or not inspected within 180 days from the date of such permit Carbon Monoxide Alarm required within 15 feet of each bedroom entrance. Signature: Print Name: G J_ (j 44 L CkF 4 os Date: ©T Z -7 — < z Form Revised Oct 2010 �of t Collins Site Address: 618 PONDEROSA DR Job Valuation: $6,910.00 Category: Residential Transactions Trust Account 09/27/2012 Receipt issued: 09/27/2012 Total Paid to Date: Fee Description Account Code Permit Flat Fee w/o Subs $25 1000.422010 Amount Paid $50.00 $50.00 Community Development & Neighborhood Services 281 N. College Ave Fort Collins, CO 80522 970.221.676o 970.224.6134 -fax Building Permit #: B1205431 Issued Full: 09/27/2012 Permit Type: Residential Mechanical Comments PAID BY AIR MASTERS TRUST ACCT Fee Amount Amount Paid Date Paid Amount Due $50.00 $50.00 09/27/2012 $0.00 TOTAL FEES: $50.00 $50.00 $0.00 TOTAL BALANCE DUE AS OF 09/27/2012: 0.00 Jr' \F'', a 01F C Fee Amounts are valid for date of this document only. Fees subject to change without notice. Form Revised Oct 2010