HomeMy WebLinkAbout2424 Pine Needle Ct - Permits - 03/19/2004Community Planning & Environmental Services
6 Building & Inspections Division
�� P.O. Box 580 281 N. College Ave.
Fort Collins, CO 80522-0580
CityofFort Collins phone (970) 221-6760 Fax (970) 224-6134
JOB SITE ADDRESS 2424 PINE NEEDLE CT
HERMIT TYPE
MECH Mechanical Alteration
Last Name, First, Middle Initial
ce GROVE, PETER
Z Address City/State
3 2424 PINE NEEDLE CT FORT COLLINS, C
0 Zip Phone No.
80528 377-2743
Front Setback Rear Setback
0
_Z Right Side Setback Left Side Setback
Z
0 Plat File No. ZBA Case Number Zoning District
Qrmng
WLot Block Lot Area Parcel No.
O' Company Name (7 Contractor License No.
PERMIT LEVEL
Phone
Supervisor Cert. No.
V
Electrical
License No.
e A. M Pnr t;[nTP,n
Mn-
o�
Mechanical
License No.
2011 ('E V1 1 y Arr!
09s;
IRoofing
License No.
Z
Framing
License No.
V
�Plumbing
License No.
h
Concrete
License No.
ADD NEW AIR CONDITIONER
8
w
BUILDING PERMIT '
Building Valuation
B0101455 ACCOUNT
PERMIT DATE
- v`s Eluil(liiy nelmi iiw uuua
ion Type
w No. of tor�BuildingSqaare Footage
Occupancy Group
Building Height
(See reverse side for Inspection Description)
nl
u
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.
FEE DATE PAID
$i11,n iJlr,tn4
( u
Print name of owner/agent
Signature
Date
TOTAL FEES
$15