HomeMy WebLinkAbout1925 Derby Ct - Permits/Air Conditioner - 08/01/2003Community Planning & Environmental Services
a
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 ADDRESS1925
DERBY CT
PERMIT TYPE
PEF
MECH
Mechanical Alteration
Last Name, First, Middle Initial
LU
Z
Address
City/State
3
O
Zip
Phone No.
- 07
377-3806
Front Setback
Rear Setback
0
Z_
Right Side Setback
Left Side Setback
Z
�
Plat File No.
ZBA Case Number Zoning District
_
Subdivision/PUD
Filing
Q
wLot
Block
Lot Area
Parcel No.
J
O
7
Company Name
Contractor License No.
Phone
Electrical
License No.
T INC
W
Mec apical
License No.
O
H
H
Roo ing
License No
License No.
OFraming
U
m
D
Plumbing
License No.
to
Concrete
License No.
AC INSTALL - TAXES ON MATERIAL COST $675.00
BUILDING PERMIT
Building Valuation
B 5 3 5 5 519 ACCOUNT
PERMIT DATE
Up 10 1 '2003 lluilding Permit w/o Subs
EVEL CATEGORY TYPE
ISSU FUL Residential ity Sales/Use Tax
Construction Type Occupancy Group
ounty Sales/Use Tax
Wp No. of Stories Building Height
O
U Building Square Footage Stock Plan/Options
(See reverse side for Inspection Description)
VI_ FNnyy
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 9M void if the work authorized by such permit is not
comma ed, s pended, abandoned or inspected within 180 days from thq date of such per it or om the date of the last inspection.
r Fo
Prifif name of o per/agent Signature Date TOTAL FEES
FEE
DATE PAID
$15.00
8/1/03
$20.25
8/1/03
$5.40
8/l/03