HomeMy WebLinkAbout1619 Lakeshore Dr - Permits/Air Conditioner - 08/14/2003Community Planning & Environmental Services
MR— � 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 ADDRESS1619 LAKESHORE DR
PERMIT TYPE PEF
MECH Mechanical Alteration
Last Name, First, Middle Initial
BUILDING PERMIT
Building Valuation
B0305408 ACCOUNT
PERMIT DATE
08 i 4+ 2OX) 3 i lding Permit W/o Subs
.EVEL CATEGORY TYPE
ISSU FUL Residential
W
UJI
Z
Address
City/State
3
1619 LAKESHOREFORT
INS CO
O
Zip
Phone No.
80525-2420
207-1550
Front Setback
Rear Setback
0
Z_
Right Side Setback Left Side Setback
Z
Plat File No.
FBA Case Number Zoning District
Subdivision/PUD
Filing
a
wLot
Block Lot Area
Parcel No.
J
�y
V
8730105016
OCompany
Name
Contractor License No.
Address
City/State
H
?
PhoneI Supervisor Cert. No.
d' Mechanic
Roofing
H
Z Framing
0
U
ca Plumbing
N
INSTALL AC
License No.
License No.
License No.
License No.
`Ln No. of Stories Building Height
OBuilding Square Footage I Stock Plan/Options
(See reverse side for Inspection Description)
CL FMN
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. Th' ermit shall become null a void if the work authorized by such permit is not
commenced, suspended, abandoned or inspected within 180 d s fro th,,��Llch tpermit r the date of the last inspection.
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owner/agent e Date U TOTAL FEES
FEE DATE PAID
1 $ u u u If J