HomeMy WebLinkAbout514 E Elizabeth St - Permits/Air Conditioner - 06/16/2004Community Planning &Environmental Services BUILDING PERMIT
.
Building & Inspections Division
P.O. Box 580 281 N. College Ave.
Buildin Valuation
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Fort Collins, CO 80522-05801.�Q
City of Fort Collins phone (970) 221-6760 Fax (970) 224-6134 QI 0 4 0 3 8 4 9
ACCOUNT
FEE
DATE PAID
JOB
SITE ADDRESS 514 EELIZABETHST
PERMIT DATE 06/16/2004
Building Permit w/o Subs
$15.0
6/16/04
PERMIT
TYPE
MECH Mechanical Alteration
PERMIT LEVEL
ISSU_FUL
CATEGORY TYPE
Residential
Last Name, First, Middle Initial
Construction Type
Occupancy Group
KARUZAS, MARGIE
Z
Address
City/State
p No. of Stories
Building Height
3
514 E ELIZABETH ST
FORT COLLINS, CO
0
V
0
Zip
8M4
Phone No.
221-3775
Building Square Footage Stock Plan/Options
Front Setback
Rear Setback
0
Z
Right Side Setback Left Side Setback
• ••
Z
• m •
2
Plat File No. ZBA Case Number Zoning District
(See reverse side for Inspection Description)
Subdivision/PLID Filing
0 L F k iI
_
Q
wLot
Block Lot Area Parcel No. O
9713225024
Name Contractor License No.
OCompany
Address City/State
Z
Phone Supervisor Cert. No.
V
Electrical License No.
ME79
Mechanical
License No.
G
SERVICE EXPERTS OF FQ
H 827
Roofing
License No.
F
Z
Framing
License No.
m�
Plumbing
License No.
tN
Concrete
License No.
INSTALL AC
w
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,
suspendid, a ndoned or inspected within 180 days from the date of such permit or from the date of the last inspection.
name of owner/agent Signature Date
TOTAL FEES
$i5
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