HomeMy WebLinkAbout3201 Lymen St - Permits/Air Conditioner - 04/09/2004Community Planning &Environmental Services
Building & Inspections Division BUILDING P E RM I TPERMIT
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 B 0 4 Q `a Q �
ACCOUNT
FEE
DATE PAID
SITE ADDRESS PERMIT DATE
3201
JOB
PERMIT
t.YMEN ST
TYPE
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PERMIT LEVEL CATEGORY TYPE
MECH Mecha,^,ic :! Alteration ISSU FJL Residential
/
Last Name, First, Middle Initial
` Construction Type Occupancy Group
�
SHORT
VID WARREN
Address
3
City/State p No. of Stories Building Height
3201 Y FOR 0
COLLINS. Co
Zip Phone No. -T V Buildiigotock Plan/Options
80526-2535 204-0433
Front Setback
Rear Setback
Z
Z
Right Side Setback Left Side Setback
•
Plat File No. ZBA Case Number Zoning District
Subdivision/PLID Filing
(See reverse nspection Description)
uL FiiM
J
wLot
Block Lot Area Parcel No.
Q 9727406016
Company Name Contractor License No.
d'
�
V
Address City/State
F-
OPhone
Supervisor cert. No.
U
Electrical License No.
c(TnT n ME n 46
0
Mec apical License No.
Inn n n 4 07
Roofing License No.
H
Z
Framing License No.
V
Plumbing License No.
N
Concrete License No.
ADD ON AIR CONDITIONING
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, State
event
and laws 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 is
commenced,
permit not
suspended, abandoned or inspected within 180 days from the date of such permit or from the date of the last inspection.
-.4101
name of owner/agent Signature Date
Print
TOTAL FEES
$15.0