HomeMy WebLinkAbout416 9th St - Permits - 04/30/2003Community Planning &Environmental Services
Building & Inspections Division BUILDING PERMIT
PERMIT FEES
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�i 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 B 0 3 0 2 2 5 5
ACCOUNT
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DATE PAID
JOB SITE ADDRESS416 9TH ST PERMIT DATE
1
PERMITTYPE 04 30 2003
MECH Mechanical Alteration PERMIT LEVEL CATEGORY TYPEResidential
uilding Permit w/o Subs
$15.00
4/30/03
ISSU FUL
Last Name, First, Middle Initial
Construction Type Occupancy Group
W FORT COLLINS HOUSING AUTHORITY
Z Address City/State p No. of Stories Building Height
3 416 9TH ST FORT ry-1, S CO a
U Zip Phone No. U Building Square Footage Stock Plan/Options
W524 416-2092
Front Setback
Rear Setback
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0
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Z
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Right Side Setback Lett Side Setback
Plat File No.
ZBA Case Number Zoning District
(See reverse sidefor Inspection Descriptions
GL f NM
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Subdivision/PUD
Filing
wLot
Block Lot Area
Parcel No.
Company Name
Contractor License No.
Address
City/State
F
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Phone Rnn—ienrf—t AL.
License No.
OMechanical License No.
Ill H-1611
Roofing License No.
F-
Z Framing License No.
U
DPlumbing License No.
V)
Concrete License No.
REPLACE FURNACE AND ADD TWO REGISTERS AND TWO RETURNS
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 infor ation. This permit shall become null and void if the work authorized by such permit is not
commenced, suspended, abandoned or inspected within 18 day from the date ofZsuchperor fro the date of the last inspection.
Print name of owner/agent Si nature
g Date TOTAL FEES $15.00