HomeMy WebLinkAbout801 E Elizabeth St - Permits/Furnace - 03/22/20006 Community Planning & Environmental Services BUILDING PERMIT
PERMIT FEES
Building & Inspections Division
P.O. Box 580 281 N. College Ave.
Building Valuation $1.500.00 I
Fort Collins, CO 80522-0580 1B0011459
cstresFo.11Au;nS phone (970) 221-6760 Fax (910) 224-6134
ACCOUNT
FEE
DATE PAID
JOB SITE ADDRESS 801 EELIZABETHST FTCO
PERMIT DAT Uw000
Br�tr,sa•r,„nwasue:
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$1500
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3/22/2Q00
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PERMIT TYPE
MECH Mechanical Alteration
PERMIT LEVEL
MSU_FUL
CATEGORY TYPE
RESIDENTIAL
Last Name, First, Middle Initial
Construction Type
Occupancy Group
NORTHERN ROGER
Z
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Address
city /State
p No. of Stories
Builtlin9 Height
3
801 E. ELIZABETH ST
FORT COLLINS, CO
O
Zip Phone
N.
Building Square Footage
Stack PIaNOptions
(]
- 80521
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Front Setback Rear
Setback
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•
—
Z
Right Side Setback Left Side Setback
• •
Z
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Plat File No. ZBA Case Number Zoning District
(See reverse side for Inspection Description)
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SubdmisioN UD FNing
GL FNM
4
WLot
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Block Lot Area 0 Par
Name Contractor License No,
OCompany
QAddress
City/State
OPhone
Supervisor Carl, No.
Electrical License No.
'
od
r0
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Mechanical
License No.
OLD TIME SHEET METAL
14-1285
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— _—
Rooting
License No.
Framing
License No.
m
LKervm No.
NPlumbing
REPLACED FURNACE AND LINE CHIMNEY
57<
_—__
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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 not inspected within 180days from the date of such permit or from the date of the fast inspection.
t-rml name of owner/agent Signature Date
TOTAL FEES
$15.00
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