HomeMy WebLinkAbout516 Brown Ave - Permits/Furnace - 01/03/2003Community Planning &Environmental Services
Building & Inspections Division BUILDING PERMIT'PERMIT
P.O. Box 580 281 N. College Ave.
Building Valuation
Fort Collins, CO 80522-0580+���.��
City of Fort Collins phone (970) 221-6760 Fax (970) 224-6134 B0300018
ACCOUNT
FEE
DATE. PAID
JOB
SITE ADDRESS 516 BROWN AVE
PERMIT DATE
1/3/2003
Building Persit w/o Subs
$15.0
1/3/03
PERMIT
TYPE
MECH Mechanical Alteration
PERMIT LEVEL
ISSU_FUL
CATEGORY TYPE
Residential
Last Name, First, Middle Initial
ASMUS, BETTY J
Construction Type
Occupancy Group
W
W
Address HANOVER CT City/State
FORT COLLINS, CO
Z
3
p
0
V
No. of Stories
0
Building Height
0
Zip 80526
Phone No. 223-1565
0
Building Square Footage Stock Plan/Options
Front Setback
Rear Setback
0
!� •
Right Side Setback Left
Side Setback
• • •
Z
0
Plat File No. ZBA Case Number Zoning District
(See reverse side for Inspection Description)
Subdivision/PUD Filing
6L FNM
Q
wLot
J
Block Lot Area Parcel No.
0 9124319006
Company Name Contractor License No.
O
Address City/State
0
Phone Supervisor Cert. No.
(J
Electrical License No.
o4
0
Mechanical
NORTH. COLORADO AIR
License No.
H-837
H
Roofing
License No.
License No.
OFraming
cc
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.
T6as
woel�—
name 1-3-GZ
Print
of owner/agent Signature Date
TOTAL FEES