HomeMy WebLinkAbout707 Breakwater Dr - Permits/Furnace - 11/08/2002Community Planning &Environmental Services BUILDING PERMITPERMIT
Building & Inspections Division
FEES
�I P.O. Box 580 281 N. College Ave.
Building Valuation
Fort Collins, CO 80522-0580
City Fort Collins
84.00
of
phone (970) 221-6760 Fax (970) 224-6134 60206852
ACCOUNT
FEEE
DATE
DATE PAID
JOB SITE ADDRESS 707 BREAKWATER DR
PERMIT DATE 1 1/8/2002
Building Permit w/o Subs
$15.0(
11/8102
PERMIT TYPE MECH MechanicalAiteration
PERMIT LEVEL ISSU_FUL
CATEGORY TYPE Residential
I
Last Name, First, Middle Initial
ANDERSON, DAVID RAY,
Construction Type
Occupancy Group
>
Address
707 BREAKWATER DR
City/State
FORT COLUNS, CO
Wp No. of Stories
O
Building Height
O
Zip W525-3M2
Phone No. 229-0255
V Building Square Footage Stock Plan/Options
Front Setback
Rear Setback
Z_
Z
Right Side Setback Left Side Setback
• • •
0
Plat File No. ZBA Case Number Zoning District
(See reverse side for Inspection Description)
G I. F N M
J
Subdivision/PUD
Filing
'Q
V
w Lot Block Lot Area 0 Parcel No.9136405028
J
OCompany Name Contractor License No.
H
Address
City/State
H
Z Phone I Sunervisor Cert. No
W
Mechanical
License No.
O
DC SHORTRIDGE DBA HOOLEY
H-1654
H
Roofing
License No.
Z
Framing
License No.
O
V
Z)
Plumbing
License No.
rn
Concrete
License No.
REPLACE FURNACE
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 inspected within 180 days from the date of such permit or from the date of the last inspection.
Print name of owner/agent ( ig' ature "" ��Q�` p t / I