HomeMy WebLinkAbout5205 Mail Creek Ln - Permits - 04/17/2003u 1 �D 1 N G PERMITPERMIT
Community Planning &Environmental Services BUILDING
Building & Inspections Division
FEES
P.O. Box 580 281 N. College Ave.
Building Valuation
Fort Collins, CO 80522-0580
$ 1
Citv of Fort Collins phone (970) 221-6760 Fax (970) 224-6134 B 0 3 0 1 8 8 a
ACCOUNT
FEE
DATE PAID
JOB
SITE ADDRESS5205 MAIL CREEKLN
I�
PERMIT DATE04/17/2003
Building Permit w/o Subs
$15.00
4/17/03
PERMIT
TYPE
MECH Mechanical Alteration
PERMIT LEVEL
ISSU FUL
CATEGORY TYPE
Residential
Last Name, First, Middle Initial
Construction Type
Occupancy Group
,,
GARVEY, DAN
Z
Address
City/State
Wp No. of Stories
Building Height
5205 MAIL CREEK LN
FORT COLLINS, CO
O
V
O
Zip0525
Phone No.
226-1176
Building Square Footage Stock Plan/Options
0
Front Setback
Rear Setback
0
Z
• • ••
1i
Right Side Setback Left Side Setback
Z
• •
2
Plat File No. ZBA Case Number Zoning District
(See reverse side for Inspection Description)
Subdivision/PUD Filing
G L F N M
Q
wLot
Block Lot Area O Parcel No.
Name Contractor License No.
OCompany
Address City/State
Z
O
Phone Supervisor Cert. No.
V
Electrical License No.
AAMPCO ELECTRIC ME-401
Mechanical
License No.
W
0
POUDRE VALLEY AIR
H-835
Roofing
License No.
H
Z
Framing
License No.
0
m
V
Plumbing
License No.
N
Concrete
License No.
INSTALL NEW AC
As
a cond lion 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.
I
�'7 " 8U741E-r— `—� ��J" Y-17-D
name of owner/agent Signature Date
TOTAL FEES
$15.00
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