HomeMy WebLinkAbout6535 Goodell Ln - Permits - 05/04/2004Community Planning & Environmental Services
Building & Inspections Division BUILDING PERMIT'
Focit
PERMIT
FEES
P.O. Box 580 281 N. College Ave.
Fort Collins, CO 80522-0580
Building Valuation
AM co
Phone (970) 221-6760 Fax (970) 224-6134
60402643
4 57.00
JOB SITE ADDRESS
AccourvT"SAID
PERMIT
pcaooEu. w
DATE
Building Penis w/o Subs
$30.0
5/4/04
PERMITTYPE MECH05/04/2004
Mechanical Altembo 1
PERMIT LEVEL :�U�L
CATEGORY TYPE
Last IrFirst, Middle Inilia]
Q�� r FM
%sidential
Construction Type
Occupancy Group
ZAddress
r �IM I"N
City/State � 1 ,
FORT C XUNS� CO
W
No. of Stories
Building Height
Zip
o�FKID
Phone No.
223-3M
V
Building Square Footage Stock Plan/Options
Front Setback
Rear Setback
0
Right Side Setback
Z
Left Side Setback
Plat File No.
ZBA Case Number
Zoning District
(See reverse side for Inspection Description)
SugdivisioNPUD
Filing
CL FIN
Lot
Block
Lot Area
01
Parcel No.
Company Name
Contractor Licensee No.
QAddress
City/State
Phone Supervisor Cert. IN
V
Electrical
CREEKSIDE ELECTRICAL CONT
License No.
ME 866
W
0
Mechanical
DC SHORTRIDCE DBA HOOLEY
License No.
H 1654
Roofing
License No.
Framing
License No.
o tN
Plumbing
License No.
Concrete
License No.
INSTALL AC AND REPLACE FURNACE
described
kASa 4631tion 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 associated with such work. I understand that
event
commenced,
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
suspended, abandoned or inspected within 18
s from the date f such permit or from the date of the last inspection.
Print
4
name of ow er/ gent Signature k1d
Dam TOTAL FEES
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