HomeMy WebLinkAbout3025 W Stuart St - Permits - 06/11/2004Community Planning & Environmental Services
Building & Inspections Division
P.O. Box 580 281 N. College Ave.
car�Fort colHris Fort Collins, CO 80522-0580
Phone (970) 221-6760 Fax (970) 224-6134
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Last Name, First, Middle initial
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Z Address City/State wp No. of Stories
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Zip I 7 Phone No. V Building Square Footage Si
Front Setback Rear Setback
Right Side Setback Left Side Setback
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0 Plat File No. ZBA Case Number Zoning District
(See reverse side for Ir
J Subdivision/PLID Filing G L F K N
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Lot Block Lot Area Parcel No.
0 9721313001
O Company Name Contractor License No.
QAddress
Mechanical
INC
License No.
Roofing
License No.
ZO Framing
License No.
V
Plumbing
License No.
Concrete
License No.
INSTALL NEW AIR 00NDITIONER
Building
Group
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.
$15.00 5/26/041
Print name of owner/agent Signature Date