HomeMy WebLinkAbout209 S Grant Ave - Permits/Furnace - 05/07/2003Community Planning &Environmental Services B U I L D I N G PERMIT
Building & Inspections Division PERMIT 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 Bi 0 3 0 2 4 4 2, 5 3.00
ACCOUNT FEE. DATE PAID
JOB SITE ADDRESS2og S GRANT AVE PERMIT DATE
PERMIT TYPE
05/07/2003 uilding Permit w/o Subs $15.00 5/7/03 MECH Mechanical Alteration PERMIT LEVEL ISSU_FUL CATEGORY TYPEResidential
Last Name, First, Middle Initial Construction Type ABBOTT, LOUISE ANNE yp Occupancy Group
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Address
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City/State
PO BOX 1523 FORT COLLINS, CO
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O No. of Stories Building Height
Zi& Phone No.
80522 223-7202
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Building Square Footage Stock Plan/Options
Front Setback Rear Setback
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Right Side Setback
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Left Side Setback
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Plat File No.
ZBA Case Number Zoning District
(See reverse side for Inspection Description)
G j F N M
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Subdivision/PUD
Filing
Lot
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Block Lot Area 0
Parcel 1711316005
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Company Name Contractor License No.
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Address City/State
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Phone Supervisor Cert. No-
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Electrical
License No.
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Mechanical
NORTH, COLORADO AIR
License No.
H_837
Roofing
License No.
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Framing
License No.
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Plumbing
License Ni).
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Concrete
License No.
REPLACE FURNACE AND GAS LINE
18
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 Signature Date