HomeMy WebLinkAbout4013 Granite Ct - Permits/Air Conditioner - 08/05/2004Community Planning &Environmental Services BUILDING
� ��� � PERMIT
Building & Inspections Division
P.O. Box 580 281 N. College Ave.
Building Valuation
Fort Collins, CO 80522-0580
�`�O€°rto° Phone (970) 221-6760 Fax (970) 224-6134
JOB SITE ADDRESS
�i
PERMIT DATE
PERMIT
TYPE PERMIT LEVEL
Last Name, Fir a Initial
CATEGORY TYP
I
n Type
Occupancy Gro p
ix
HOWAM
Add aW.W
City/State
S No. of Stories
Building Height
6
zip Phone No.
V
Building Square Footage
Stock Plan/Options
Front Setback
Rear Setback
r
_Z
Z
Right Side Setback Left Side Setback
Plat File No.
ZBA Case Number Zoning District
(See reverse side for Inspection Description)
L F II M
J
Subdlvision/PLID
Fling
a
wLot
J
Block Lot Area
Parcel No.
2�
Company Name
Contractor License No.
Address
City/State
I Phone I SUDerviggr Cert. No_
p[
License No.
CRoo
License No.
0
Framing
License No.
V
go
Plumbing
License No.
to
Concrete
License No.
INSTALL NEW AIR C ONDMNER
81
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