HomeMy WebLinkAbout7021 Sculpin Ct - Permits - 04/30/2003Community Planning & Environmental Services
Building & Inspections Division BUILDING P E RM I T
PERMIT
FEES
P.O. Box 580 281 N. College Ave.
Building valuation
F',
Fort Collins, CO 80522-0580
City
of Fort Collins Phone (970) 221-6760 Fax (970) 224-6134 B 0 3 0 2 2 4
ACCOUNT
FEE
DATE PAID
PERMIT DATE
SITE ADDRESS7021
JOB
PERMITTYPE
SCULPIN CT 04 30 2003
Building Permit w/o Subs
$15.00
4/30/03
MECH Mechanical Alteration PERMIT LEVEL ISSU CATEGORY TYPE FUL Residential
ac
Last Name, First, Middle Initial Construction Type Occupancy Group
HODEN CURTIS
W
Z
3
Address LU
City/State in No. of Stories Building Height
7021 SC LPIN CT FT COLLINS CO
Zip Phone No. U Building Square Footage Stock Plan/Options
80526 282-3733
Front Setback
Rear Setback
Z_
Z
• •
Right Side Setback Left Side Setback
0
, •
Plat File No. ZBA Case Number Zoning District
Subdivision/PUD Filing
(See reverse side for Inspection Description)
G L f N M
J
wLot
Block Lot Area Parcel No.
Name Contractor License No.
OCompany
Address City/State
Z
Phone Supervisor Cert. No.
U
Electrical License No.
OMechanical
License No.
F-H-1416
Roofing
License No.
H
Z
Framing
License No.
U
�
Plumbing
License No.
V)
Concrete
License No.
INSTALL AIR CONDITIONER
As a
described
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
herein. I agree to comply with all City ordinances, and State laws
event
associated with such work. I understand that such permit may be revoked in the
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 da from t e date of such permit r from the date of the last inspection.
�1"�le�
��err►�c n �� �-�-Q3
name of owner/agent
Print
Signature Date
TOTAL FEES
$15.00