HomeMy WebLinkAbout913 Grouse Cir - Permits/Furnace - 09/13/2004Community Planning & Environmental Services
Building & Inspections Division
P.O. Box 580 281 N. College Ave.
Fort Collins, CO 80522-0580
Citvof Fort Collins phone (970) 221-6760 Fax (970) 224-6134
JOB SITE ADDRESS 913 GROUSE CIR
PERMIT TYPE PERMIT
MECH Mechanical Alteration
Last Name, First, Middle Initial
oe WILUiAMS, DALLAS
w Address City/State
913 GROUSE CR FORT COLLINS, CO
U Zip Phone No.
8�24 419-1161
BUILDING PERMIT
Building Valuation
B0405766
ACCOUNT
PERMIT DATE
09/ 13/2004 Building Permit w/o Subs
LEVEL CATEGORY TYPE
ISSU_FUL Residential
Construction Type Occupancy Group
Wp No. of Stories Building Height
0
Building Square Footage Stock Plan/Options
Front Setback Rear Setback
0
Z Right Side Setback Left Side Setback
Z
NPlat File No. ZBA Case Number Zoning District
Subdivision/PUD Filing
J
Q
wLot Block Lot Area O Parcel No.
9701148063
Phone
License No.
(See reverse side for Inspection Description)
OL FMM
Q�
Mechanical
License No.
5
Roofing
License No.
F—
Framing
License No.
Z
u
Plumbing
License No.
m
rn
Concrete I License No
FURNACE REPLACEMENT I
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.
FEE
$15.
DATE PAID
9/13J04
Print name of owner/agent
Date I TOTAL FEES