HomeMy WebLinkAbout916 W Prospect Rd - Permits/Mechanical - 08/26/2003Community Planning & Environmental Services
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Building & Inspections Division
P.O. Box 580 281 N. College Ave.
Fort Collins, CO 80522-0580
Cityof Fort Collins phone (970) 221-6760 Fax (970) 224-6134
SITE ADDRESS916 W PROSPECT RD
MECH Mechanical Alteration
Last Name, First, Middle Initial
PLYMOUTH CONGREGATIONAL
Z Address City/State
3 916 W PROSPECT RD I FORT C(
O Zip Phone No.
80526 1 223-9288
BUILDING PERMIT
Building Valuation
B0305627 ACCOUNT
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CATEGORY TYPE
ISSU_FUL
Construction Type
CO
w No. of Stories
0
Z_ Right Side Setback Left Side Setback
Z
Plat File No. ZBA Case Number Zoning District
Subdivision/PUD Filing
J
Q
wLot Block Lot Area Parcel No.
0 9 714 3119 12
OCompany Name Contractor License IN
Address City/State
H
Z Phone Supervisor Cert. No.
License No.
(See reverse side fol
CL FNM
Church
Stock Plan/Options
Inspection Description)
W
Mechanical
License No.
C111n
II EY AIR
H 8 35
Roofing
License No.
F-
Z
Framing
License No.
U
Plumbing
License No.
m
N
Concrete
License No.
REPLACE INTERIOR FURNACE AND GROUND MOUNTED AIR CONDITIONING UNIT (SAME LOCATION AS
EXISTING) TO A SYSTEM WITH 750 CFM OF OUTSIDE AIR FOR THE PLYMOUTH CONGREGATIONAL
CHURCH. (4 TON AIR CONDITIONER AND 120 BTU FURNACE)
W
I —
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 becom ull and void if the work authorized by such permit is not
commenced, suspended, abandoned or inspected within 180 days from the date of such p it r from the date of the last inspection.
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Print name of owner/agent Signature Date — TOTAL FEES
FEE I DATE PAID
$56.50 1 8/26/03
$56.50