HomeMy WebLinkAbout1500 Fairway Seven Ct - Permits/Mechanical Alteration - 11/24/2004AhCommunity Planning & Environmental Services
Building & Inspections Division
P.O. Box 580 281 N. College Ave.
Fort Collins, CO 80522-0580
Ciiy of Poxt Collins
Phone (970) 221-6760 Fax (970) 224-6134
JOB SITE ADDRESS ism FetawAy GIN r r
Last Name, First, Middle Initial
Ix THANSTAD. TO
Address
7S.
S i
O zip
25
Front Setback
Z Fight Side Setback
Z
0 Plat File No.
SubdivisiorVPUD
ta,
y Lot
J
tttO--- company Name
Address
Phone
V
m
N
8
License No.
License No.
REPLACE FURNACE AND AIR CONDITIONER
`_-
No. of Stories
OBuilding Square Footage
GL
reverse
'or Inspection
FNM
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, su9pend� abandoned or inspected within 180 days from the data of such permit or from the date of the last inspection.
Print name of owner/agent Signature Date