HomeMy WebLinkAbout1442 Sioux Blvd - Permits - 08/13/2001Community Planning & Environmental Services BUILDING PERMIT
Building
& Inspections Division
P.O. Box 580 281 N. College Ave.
10tvo
Building Valuation
Dort Collins, CO 80522-0580
$2,238 3q
1 Phone (970) 221-6760 Fax (970) 224-6134 104914
ACCOUNT
FEE
DATE PAID
JOB
SITE ADDRESS 1442 SIOUXBLVD
PERMIT DATE 08/ 13/200 1
Building Permit w/o Subs
$15.00
8/13/01
PERMIT
TYPE MECH Mechanical Alteration
PERMIT LEVEL ISSU_FUL
CATEGORY TYPE RESIDENTIAL
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Construction Type
Occupancy Group
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city / StaOORT COLLINS, CO
O No. of Stories 0
Building Height 0
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Zip 80526-25., Phone
No. 970-3n-096'�
Building Square Footage Stock Plan/Options
Front Setback Rear
Setback
REOUIRED INSPECTIONS
221-6769
Z
Right Side Setback Left
Side Setback
A LL
Z
TO SCHEDULE INSPECTIONS
(See reverse side or Inspection Description)
Plai -FIN. ZBA Case Number
Zoning Distdct
Subdivision/PUD
Filing
G L F N M
Q
w
J
Lot Block Lot Area 0 Parcel No. 9727417008
Company Name Contractor License No.
a'
UAddress
City/State
H
Z
Phone Supervisor Cert. No.
V
Elect i al License No.
��MPG,O ELECTRIC ME-401
o
Mena WRIE VALLEY AIR
License No. H-835
Rooting
License No.
Z
0
Framing
License No.
cc
Plumbing
License No.
v=i
Concrete
License No.
RESIDENTIAL INSTALL AIR CONDITIONER CONDENSATE PUMP AND THERMOSTAT.
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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,
s,uspenc)ed, abandoned or not inspected within 180 days from the date of such permit or from the date of the last inspection.
name ofownerFagent Signature Date
TOTAL FEES
$15'00
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