HomeMy WebLinkAbout524 Larkbunting Dr - Permits/Mechanical - 05/26/2004Community Planning & Environmental Services
Building & Inspections Division
P.O. Box 580 281 N. College Ave.
Fort Collins, CO 80522-0580
City of Fort Collins phone (970) 221-6760 Fax (970) 224-6134
JOB SITE ADDRESS 524 LARKBUNTING DR
PERMIT TYPE PER
MECH Mechanical Alteration
Last Name, First, Middle Initial
LYLE REBECCA
Z Address City/State
3 524 LARKBUNTING DR FORT COLUNS
O Zip Phone No.
80526-3667 206-1059
QD
Z_ Right Side Setback Left Side Setback
Z
� Plat File No. ZBA Case Number
Subdivision/PLID Filing
a
LOU Lot Block Lot Area ParCE
J 0
OE
Company Name I Contractor License No.
a
dH
Address
City/State
Z
O
Phone
Supervisor Cert. No.
V
Electrical
License No.
ce
Mechanical
License No.
O
H
F—
Roofing
License No.
Z
Framing
License No.
O
V
Plumbing
License No.
N
Concrete
License No.
ADD NEW AIR CONDITIONER AND FURNACE REPLACEMENT
BUILDING PERMIT
Building Valuation
B0403383 ACCOUNT
PERMIT DATE
05 26 2004 Building Penlit w/o Subs
MIT LEVEL CATEGORY TYPE
ISSU_FUL Residential
Construction Type Occupancy Group
wp No. of Stories Building Height
CO o
Building Square Footage I Stock Plan/Options
(See reverse side for Inspection Description)
CL FNN
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
$30.0 5/26/04
Print name of owner/agent
Signature Date
TOTAL FEES