HomeMy WebLinkAbout1408 W Mountain Ave - Permits/Furnace - 02/25/1992DEVELOPMENT SERVICES/BUILDING PERMITS & INSPECTIONS DIVISION
P.O. BOX 580, FORT COLLINS, CO 80522-0580
221-6769
BUILDING PERMIT
JOB SITE ADDRESS 1.1 r Permit Type work Type
Category Type
W Proposed Use Use Zone - Permit Level
Subdivision PUD Filing PERMIT FEES
Q Subdivision/PUD
SITE SETBACKS
REAR
LEFT RIGHT
O
w
J
Building Valuatm
FRONT
Lot
Black
Parcel No.
i1CDUNT
1 Act
FEE
DATE PAID
last
First
M.I.
ECKI G
Lot Area
w
B015 PERMIT FLAT,
15.00
92ti225
Address
City
FORT (01 1 INS
CITY,; 9ALI5B USE TA
0.00
92022
Pat Fie No.
OZ
State
Zip
Phone No.
Off St. Parking
OCompany
Name
Contractor License No.
—
U
QUIRERE • •
Address
city
State
ET
rn
CALL 221-6769
O
TO SCHEDULE INSPECTIONS
Zip
Phone
Sales Tax No.
1 1 1. 13
(See reverse side for
Inspection Description)
Construction Type
Occupancy Group
F;re Sprinkler
Building Square Footage
No. of Stories
Bldg. Height
� V
F' 'OTAL FEES "
Y
I- N M
OOcctryancy
occupant Load
Separation
Area Separation
Fire Containment Ir
u_
O
welling UniE]jjj
rooms
Nc. of Bathrooms
Fireplace/Stoves
Basement
Stock Plan
Options
Z
O
Text:
a
FURNACE REPLACEMENT
U
n`
N
O
=�
ZBA Case No.
BBA Case No.
DEPARTMENTAL
I M€N
STATUS
Permit No.
Permit DateDEYAii
DATE
• •
As a conditio r the issuance of a permit, I hereby declare that I am a1herein,
OTC PERMIT
ISS Electrical
or the owne s agent, authorized to perform the proposed work on the
described herein. I agree to comply with all the requirements containeand
City ordinances, and State laws associated with such work. I understsuch
permit may be revoked in the event that issuance was based on i
Mechanicalinformation.
This permit shall become null and void if the work authosuch
permit is not commenced, suspended, abandoned, or not inspecte
180 days from the date of such permit.
"
Plumbing
Sgnature
Date
ORIGINAL - FILE. BLUE - OFFICE. CANARY - SALESTAX, PINK - APPLICANT, TAG -FIELD CARD