HomeMy WebLinkAbout2009 Outrigger Way - Permits - 10/24/2003a Community Planning & Environmental Services
Building & Inspections Division
�- P.O. Box 580 281 N. College Ave.
Fort Collins, CO 80522-0580
City of Fort Collins
Phone (970) 221-6760 Fax (970) 224-6134
JOB SITE ADDRESS 2009 OUTRIGGER WAY
PERMIT TYPE PERMIT
MECH Mechanical Alteration
Last Name, First, Middle Initial
CRUZ,DAVE
w Address
3 2009 OUTRIGGER WAY cuy/stateFORT COLLINS, CO
O Z'p 80524 Phone No.
472-1485
Front Setback Rear Setback
BUILDING PERMIT
Building Valuation
8030700$
ACCOUNT
PERMIT DATE
10I24//2003' Building Permit wA Subs
LEVEL ISSU FUL CATEGORY TYPE
Residential
Construction Type Occupancy Group
w No. of -Stones
Building Height
O
Budding Square Footage Stock Plan/Options
_Z Right Side Setback Lett Side Setback
Z
Plat File No. ZBA Case Number Zoning District (See reverse side for Inspection Descri
_ $ebdIVl51or1/PUD Filing CL Film
Q
wLot Block Lot Area 0 Parcel No.
nCompany Name Contractor License No.
Phone
Electrical
License No.
Mechanical
License No.
o
POUNE VALLEY ATR
Roofing
License No.
H
OFraming
License No.
U
Plumbing
License No.
Concrete
License No.
INSTALL AC
8
35
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 ESignature Date
TOTAL FEES
FEE I DATE PAID
$15.0 10/24/03