HomeMy WebLinkAbout1636 Independence Rd - Permits/Mechanical - 04/18/2003Community Planning &Environmental Services
Building & Inspections Division
� � ��PERMIT
BUILDING
FEES
P.O. Box 580 281 N. College Ave.
Building Valuation
Fort Collins, CO 80522-0580
City of Fort Collins phone (970) 221-6760 Fax (970) 224-6134
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$4,720.00
ACCOUNT
FEE
DATE PAID
JOB SITE ADDRESS1636 INDEPENDENCERD
'ERMITTYPE
PERMIT DATE
04/ 18/2003
Building Permit w/o Subs
$30.00
4/18/03
MECH Mechanical Alteration PERMIT
LEVEL ISSU_FUL CATEGORY TYPEResidential
Last Name First, Middle Initial
HAYS, DAMES T/HELEN C
Construction Type
Occupancy Group
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Address
1636 INDEPENDENCE RD
Of
FORT COLLINS, CO
No. of Stories
Building Height
zitsu526-1713
Phone No.
493-4672
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U
Building Square Footage Stock Plan/Options
REWIRED INSPECTIONS
Z_ Right Side Setback Left Side Setback CALL 221-6769
Z
Plat File No. ZBA Case Number Zoning District TO SCHEDULE INSPECTIONS
(See reverse side for Inspection Description)
J Subdivision/PUD Filing GL ENM
wLot Block Lot Area Parcel N 9722315009
O
OCompany Name Contractor License No.
Address City/State
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Z Phone Sunarvicnr Cart Kin
IuQ1
ANZ ELECTRICAL
License No.
ME-246
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O
Mechanical
NORTH COLORADO AIR
License No.
-
H-837
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—
Roofing
License No.
OFraming
License No.
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Plumbing
License No.
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Concrete
License No.
REPLACE FURNACE AND ADD NEW AIR CONDITIONER
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.
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Print name o owner/agen Slat P / n
FEES