HomeMy WebLinkAbout5421 Rabbit Creek Rd - Permits - 06/04/2004Community Planning &Environmental Services BUILDING P E RM I TPERMIT FEES
Building & Inspections Division
P.O. Box 580 281 N. College Ave. Building valuation
Fort Collins, CO 80522-058060.00
City of Fort Collins phone (970) 221-6760 Fax (970) 224-6134 60403522
ACCOUNT FEE DATE PAID
JOB SITE ADDRESS 5421 RABBITCREEKRD I
PERMIT DATE 06/04/2004 Building Permit w/o Subs $15.0 6/4/04
PERMIT TYPE PERMIT LEVEL CATEGORY TYPE
MECH Mechanical Alteration ISSU_FUL I
Residential
Last Name, First, Middle Initial Construction Type Occupancy Group
09: WITT, DOUG
Z Address City/State Wp No. of Stories Building Height
5421 RABBIT CREEK FT COWNS, CO 0
8l7525
Zip Phone No. 498-3494 Building Square Footage I Stock Plan/Options
Front SetbackI Rear Setback
0
Z_
Right Side Setback Left Side Setback
Z
2
Plat File No. ZBA Case Number Zoning District
_
Subdivision/PUD
Filing
Q
wLot
Block
Lot Area
Parcel No.
0
95
1 Companv Name
I Contractor License No.
Address
Electrical
W
Mechanical
License No.
0
OPTIMUM HEATING AIR
I
Roofing
License No.
H
Z
Framing
License No.
V
�O
V)
Plumbing
License No.
N
Concrete
License No.
ADD ON AIR CONDITIONING AND HUMIDIFIER
8
(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 fr the date of such permit or from the date of the last inspection.
N,tekAc I l Y�5sIf--c- Ely 1U�►
Print name of owner/agent Signature Date TOTAL FEES