HomeMy WebLinkAbout5156 Cinquefoil Ln - Permits - 04/26/2004Community Planning &Environmental Services BUILDING PERMIT
PERMIT
Building & Inspections Division
P.O. Box 580 281 N. College Ave.
Building valuation
Fort Collins, CO 80522-0580
$2, 0 0.0 0
City of Fort Collins phone (970) 221-6760 Fax (970) 224-6134 B0402427
ACCOUNT
FEE
DATE PAID
JOB
SITE ADDRESS 5156 CINQUEFOIL LN
PERMIT DATE '� L /) r
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I g Perm i t ii/0 SUu$
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5 . u
4 j 26 / G 4
PERMIT
TYPE
MECN Mechanics! Alteraticn
PERMIT LEVEL
lSSU FUL
CATEGORY TYPE
Residential
Last Name, First, Middle Initial
Construction Type
Occupancy Group
DENO. JOYCE
Z
3
Address
5156 CINQUEFOIL LN
City/State
FORT COLLINS. CO
wQ No. of Stories
O
Building Height
O
Zip 80526
Phone No. 223 3�5
Building Square Footage Stock Plan/Options
Front Setback
Rear Setback
Z
Right Side Setback
Left Side Setback
Z
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(See reverse side for Inspection Description)
Plat File No. ZBA Case Number
Zoning District
Subdivision/PUD
Filing
G L F "i M
_
Q
wLot
J
Block Lot Area a Parcel No.
Name Contractor License No.
OCompany
V
a
Address City/State
Z
O
Phone Supervisor Cert. No.
V
Electrical License No.
EFFICIENT tLEUl 11PA'1 SEit ME 868
Mechanical
License No.
p[
o
CLIMATECH HEATING & A/C INC.
H 1426
URoofing
License No.
H
Z
Framing
License No.
V
m
Plumbing
License No.
N
Concrete
License No.
INSTALL NEW AIR CONDITIONER
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
TOTAL FEES
$15.0