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508 W Trilby Rd - Permits - 03/11/2003
Community Planning & Environmental Services Building & Inspections Division P.O. Box 580 281 N. College Ave. Fort Collins, CO 80522-0580 =of Fort Collins phone (970) 221-6760 Fax (970) 224-6134 JOB SITE ADDRESS 5os W TRILBY RD DERMIT TYPE MECH Mechanical Alteration Last Name, First, Middle Initial w EVANGELICAL LUTHERAN GOOD BUILDING PERMIT Building Valuation 80301139 ACCOUNT PERMIT DATE 03/ 1 1 /2003 Building Permit w/o Subs RMIT LEVEL CATEGORY TYPE ISSU_FUL Non Res Bldg Const Construction Type Occupancy Group Address City/State PO BOX 271627 FORT COLLINS, CO 0 ziP80527 Phone No. 226-4909 0 Z Right Side Setback Left Side Setback Z 0 Plat File No. ZBA Case Number Zoning District a wLot Block Lot Area 0 Parcel No. Company NameI Contractor License No Phone Electrical License No. NORTHWEST UNITED ELECTRIC ME-313 ix Mechanical License No. o POUDRE VALLEY AIR H-835 Roofing License No. F— OFraming License No. SO V Plumbing License No. N Concrete License No. uj p No. of Stories Building Height O 0 0 Building Square Footage Stock Plan/Options 0 REQUIRED• CALL 6• TO SCHEDULE INSPECTIONS (See reverse side for Inspection Description) GL FNM REPLACE EXISTING ROOF TOP UNIT THAT SERVES DINING ROOM AREA. NEW UNIT IS CAPABLE OF 100% OUTSIDE AIR, LESS WEIGHT AND SMALLER THAN EXISTING, PLACED IN EXISTING ROOF CURB VIA CURB ADAPTOR. 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. �r�y�I 3 C 1-©� Print name of owner/agent Sign ure Date TOTAL FEES 12 00.00 FEE I DATE PAID $98.501 3/11/03