HomeMy WebLinkAbout916 E Lake St - Permits/Furnace - 12/12/2003Community Planning & Environmental Services
Building & Inspections Division
- P.O. Box 580 281 N. College Ave.
FortCollins, CO 80522-0580
cityofP phone (970) 221-6760 Fax (970) 224-6134
JOB SITE ADDRESS 916 E LAKE ST
PERMIT TYPE PERMIT
MECH Mechanical Alteration
Last Name. First, Middle Initial
MAY, DR. WILL
Z Address City/State
3 916 E LAKE ST FORT COLLINS, CO
O Zip Phone No.
80524-4208 482-3802
Front Setback Rear Setback
0
Z Right Side Setback Leh Side Setback
Z
RPlat File No. ZBA Case Number Zoning District
J
Q
wLot Block Lot Area Parcel No.
Q
OCompany Name Contractor License No.
GAddress I City/State
BUILDING PERMIT
Building Valuation
B0307889 ACCOUNT
PERMIT DATE
12/ 12/ 200 3 Building Permit ii Subs
Mechanical
License No.
OPOUDRE
VALLEY AIR35
License No.
QRoofing
H
License No.
OFraming
U
m
Plumbing
License No.
V)
N
Concrete
License No.
FURNACE REPLACEMENT
Construction Type Occupancy Group
wp No. of Stories Building Height
OBuilding Square Footage I Stock Plan/Options
(See reverse side for Inspection Description)
CL FNM
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.
FEE I DATE PAID
$I5.012/12/00
name
Date I TOTAL FEES
$1