HomeMy WebLinkAbout1638 Alcott St - Permits/Gas - Log, Line, Pipe - 07/11/2003aCommunity Planning & Environmental Services BUILDING P E RM I T
Building & Inspections Division
P.O. Box 580 281 N. College Ave.6Building valuation
Fort Collins, CO 80522-0580
Citv of Fort Collins phone (970) 221-6760 Fax (970) 224-6134 B 0 J 0 4 2 7 1
ACCOUNT FEE DATE PAID
106 SITE ADDRESS1638 ALCOTT ST PERMIT DATE
07J1 1/1003 wilding Permit u/o Subs $15.00 7/11/03
'ERMIT TYPE PERMIT LEVEL CATEGORY TYPE
PLUM Plumbing Alteration ISSU_FUL Residential
Last Name, First, Middle Initial Construction Type Occupancy Group
HAMILL LORNA
uZl Address City/State w No. of Stories Building Height
3 0 1638 ALCOTT ST FORT COLLINS, CO
U Building Square Footage Stock Plan/Options
lions
Zip Phone No. g q p
80525-2999 970-226-3936
Front Setback Rear Setback •
♦ •
Z Right Side Setback Left Side Setback • , • •
Z
Plat File No. ZBA Case Number Zoning District (See reverse side for Inspection Description)
subdivision/PUD Filing R P G L F N P
Q
w Lot Block Lot Area O Parcel N. 8730424018
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�,. �............. r.�.,...eI Contractor License No.
Address
Phone
w Mecnanic
FO
Roofing
H
Z Framing
O
U
m Plumbing
N Al 1 PI
INSTALL GAS LINE TO BBQ
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License No.
License No.
License No.
License No.
MPA
License No.
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.
Print name of owner/agent Signature Date TOTAL FEES
$15.00