HomeMy WebLinkAbout2626 Pasquinel Dr - Permits - 05/29/2003Community Planning & Environmental Services
Building & Inspections Division
P.O. Box 580 281 N. College Ave.
Fort Collins, CO 80522-0580
city of Fartcallins phone (970) 221-6760 Fax (970) 224-6134
JOB SITE ADDRESS2626 PASQUINEL DR
PERMIT TYPE PER
MECH Mechanical Alteration
Last Name, First, Middle Initial
MISKULIN BRUCE GDEBBI L
Z
Address City/State
3 2626 PAS UINEL DR FORT COLLINS CC
0 Zip Phone No.
80526-6224 223-4254
Front Setback I Rear Setback
0
Z_ Right Side Setback
Z
2 Plat File No. I ZBA Case Number
a
w Lot Block Lot Area
J
Company Name
GAddress
w mecnanic
0
Roofing
H
Z Framing
V
m Plumbing
V)
to
INSTALL AC
I8
0 Parcel No.
Contractor License No.
City/State
License No.
License No.
License No.
License No.
License No.
License No.
BUILDING PERMIT
Building Valuation
B0302966 ACCOUNT
PERMIT DATE 05 2 2003 uilding Permit a/o Subs
EVEL I CATEGORY TYPE
Construction Type Occupancy Group
wp No. of Stories Building Height
OBuilding Square Footage I Stock Plan/Options
(See reverse side for Inspection Description)
GL FNM
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.
FEE DATE PAID
$15.00 5/29/03
Print name of owner/agent
Date I TOTAL FEES