HomeMy WebLinkAbout866 Aztec Dr - Permits/Gas - Log, Line, Pipe - 09/13/2002Community Planning &Environmental Services BUILDING P E RM I TPERMIT
`�`
FEES
a; Building & Inspections Division
�- P.O. Box 580 281 N. College Ave.
Building Valuation
Fort Collins, CO 80522-0580
$1,0 0.00
City of Fort Collins phone (970) 221-6760 Fax (970) 224-6134 60205794
ACCOUNT
FEE
DATE PAID
JOB
SITE ADDRESS sw AZTEC DR
PERMIT DATE 09/13/2002
Building Permit
City Salaa,/Uste -
county Sales/Uss
v $15. 0
a $15.0
04.00
9/13/02
9/13/02
9113102
PERMIT
TYPE SLOG Gas Log - Gas Ughter
PERMIT LEVEL
ISSU_FUL
CATEGORY TYPE RESIDENTIAL
Last Name, First, Middle Initial
Construction Type
Occupancy Group
FORREST, KATHRYN D
Address
81% AZTEC DR
City/State
FORT COLLINS, CO
p No. of Stories
Q
Building Height
Z
3
Q
-zip 21
Phone No. �i82� 5
Building Square Footage Stack Plan/Options
0
Front Setback
Rear Setback
Right Side Setback
Left Side Setback
Z
Z
(See reverse side for Inspection Description)
Plat File No. ZBA Case Number
Zoning District
Subdivision/PLID
Filing
GL LG
_
Q
w
J
Lot Block Lot Area Parcel N
0 9703407020
Name Contractor License No.
OCompany
V
a
Address City/State
Z
Q
Phone Supervisor Cert. No.
V
Electrical License No.
Mechanical
License No.
Roofing
License No.
H
Z
Framing
License No.
0
m
Plumbing
License No.
N
Concrete
License No.
INSTALL GAS DIRECT VENT FIREPLACE WITH LOGS AND GASLINE
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 pull and void if the work authorized by such permit is not
commenced,
suspended, abandoned or inspected within 180 days from t h permit r from the data of the last inspection.
�/cr� g �Lse lo-z �� •.. TE+ 3��h o z_
name of owner/agent Signature Date
FEES
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