HomeMy WebLinkAbout1114 Saint Croix Pl - Permits - 04/23/2003Community Planning &Environmental Services
FEES
Building & Inspections Division BUILDING P E RM I TPERMIT
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P.O. Box 580 281 N. College Ave.
Building Valuation
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Fort Collins, CO 80522-0580
City of Fort Collins phone (970) 221-6760 Fax (970) 224-6134 B 0 3 0 2 0 5
ACCOUNT
FEE
DATE PAID
JOB SITE ADDRESS PERMIT DATE
1114
SAINTCROIXF'L 04 23 2003
3uilding Permit w/o Subs
$15.00
4/23/03
PERMIT TYPE PERMIT LEVEL CATEGORY TYPE
MECH Mechanical Alteration ISSU FUL Residential
Last Name, First, Middle Initial Construction Type Occupancy Group
MCCLEL ND. BOB
3 Address
114 AI GR City/State Q No. of Stories Building Height
FORT COLLINS, Q0
Zip Phone No. V Building Square Footage Stock Plan/Options
80528 223-3567
Front Setback
Rear Setback
P •
• •
Z
Z
Right Side Setback Left Side Setback
Plat File No.
ZBA Case Number Zoning District
(See reverse side for Inspection Description)
G L F N M
-
J
Subdivision/PUD
Filing
Q
wLot
J
Block
I Lot Area
Parcel No.
O 8618217049
Name Contractor License No.
OCompany
Address City/State
F
ZPhone
Supervisor Cert. No.
V
Electrical License No.
OMechanical
License No.
H
COLORADO AIR
Roofing
_
License No.
H
Framing
License No.
Z
V
Plumbing
License No.
N
Concrete
License No.
INSTALL AG
W
t-
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.
Print name of owner/agent gnature ate TOTAL TEES $i5 C