HomeMy WebLinkAbout1021 Luke St - Permits/Mechanical - 05/15/2013/10,.F�rt Collins
Site Address: 1021 LUKE ST
Job Valuation: $5,750.00 Category: Repair Garage
Owner: POUDRE VALLEY HEALTH CARE INC
281 N. College Ave Fort Collins, CO 8o522
970.221.676o 970.224.6134 -fax
Building Permit #: B1302250
Issued Full: 05/15/2013
Permit Type: Commercial Mechanical
2315 E HARMONY RD STE 200
FORT COLLINS, CO 80528-8620 Phone:
Zoning: Front setback: Rear setback: Right setback: Left setback:
Minor Amend #: Plat File #: ZBA Case #:
Zoning district: E - EMPLOYMENT DISTRICT
Legal: Subdivision/PUD:
Code: Res sq ft: 0 Com sq ft: _
# of stories: Occ Group: _
Fire Sprklr: Stock plan #: _
Contractor: HIGH PLAINS MECH SERVICE
2020 AIRWAY AVE-
FORT COLLINS, CO 80524
Subcontractorlsl�
Mechanical: HIGH -PLAINS MECH SERVICE
Job Contact: PAUL FINGER
O [F
Work Descriotion:.Reolacement of exixsting r-22 c
Same size and weight ground mounted:'
Filing M Lot #: Block #:
Ind sq ft: Basement sq ft:
Const Type:
Stock plan options:
License #: H-821 Supervisor cert#:
Phone: 970-221-5645
5645
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I
coil with r410 a
License Number
H-821
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SCHEDULE INSPECTIONS: *** By Phone: 970-221-6769 *** By Web: http://amos.fcgov.com/CltizenAccess
***By Mobile Device: hftp://amos.fcgov.com/CitizenAccess/amea/
Inspections: GL FNM FNP FNE
TOTAL FEES PAID AS OF 05/15/13: $107.25 Payment Method: Credit Card
Fee Detail Displayed on Next Page
As a condition for the issuance of a permit, I hereby declare that I am the owner or owners agent, authorized 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 incorrect informaafion. This permit shall become null and void if the work authorized by such permit is not commenced,
suspended, abandoned or not inspected within 180 days from the date of such permit.
Signature��ry Print Name: Date: 5-
Form'Revised Oct 2010
C'}�, O Community Deuelopment&Neighborhoo Seruices
Fort Collins 281N. CollegeAue FortCollins,C08o522
97o.22i.676o 9�o.22Q.6�3q -fax
Building Permit#: B1302250
Issued Full: 05/15/2013
Permit Type: Commercial Mechanical
Site Address: 1021 LUKE ST
Job Valuation: 5 750.00 Category: Repair Garage
Transactions
Method Check Number pate Paid Amount Paid C�mments
CreditCard 05l15/2013 $10725 Pay by Rick Bockman creditcard
Receipt issued: 05/15/2013 Total Paid to Date: $107.25
Fee Description Account Code Fee Amount Amount Paid Date Paid Amount Due
Building Permit Fee Without 1000.422010 $107.25 $107.25 05/15/2013 $0.00
Subs
TOTAL FEES: $707.25 $107.25 $0.00
' �� =,> : ; . TOTAL BALANCE DUE AS OF 05/15/2013: 0.00
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Fee Amounts are valid for date of this document only.Fees subject to ehange without notice.
Fortn Revised Oct 2010