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HomeMy WebLinkAbout1718 W Swallow Rd - Permits - 01/23/2004Community 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 1718 W SWALLOW RD PERMIT TYPE PER MECH Mechanical Alteration Last Name, First, Middle Initial ce CLARK BETTY LU Z Address City/State Z 31718 W SWALLOW RD FORT COLLINS O Zip Phone No. 80526-3734 229-9944 Front Setback Rear Setback Q) Z Right Side Setback Left Side Setback Z NPlat File No. ZBA Case Number Zoning I Subdivision/PUD Filing J Q w Lot Block Lot Area Parcel N J A Comoanv Name Contractor License No. Q Address City/State Z Phone Supervisor Cert. No. O V Electrical License No. Mechanical License No. Cnnr nn t H Roofing License No. ZO Framing License No. V co Plumbing License No. D N Concrete License No. REPLACE FURNACE BUILDING PERMIT Building Valuation B0400359 ACCOUNT PERMIT DATE 0 i 23 2iiv t i'iuiluiiig permit, w/o Stlu5 RMIT LEVEL CATEGORY TYPE ISSU FUL Residential Construction Type Occupancy Group Wp No. of Stories Building Height CO - Building Square Footage I Stock Plan/Options (See reverse side for Inspection Description) CL FNM W � r / V 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, suspend , 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 Signature Date TOTAL FEES FEE DATE PAID $11.6 11 $15.