HomeMy WebLinkAbout600 Marigold Ln - Permits/Mechanical - 12/07/2004Community Planning &Environmental Services BUILDING PERMIT
PERMIT FEES
Building & Inspections Division
P.O. Box 580 281 N. College Ave. Building Valuation
Fort Collins, CO 80522-0580
City of Fort Collins phone (970) 221-6760 Fax (970) 224-6134
B0407211 ACCOUNT FE IYAID
JOB SITE ADDRESS --- _ _ _ _. _ _. _ ... PERMIT DATE
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PERMIT LEVEL
Last Name, Fi , e Initial
Lu Z
Add QftNEMLE FER
City/State
Zip
856"
Phone No.
Fron
Rear Setback
Z
Right Side Setback Left Side Setback
Z
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Plat File No.
ZBA Case Number Zoning District
J
Subdivision/PUD
Filing
wLot
J
Block Lot Area
Parcel No.
OCompany
Name
1 :7
Contractor License No.
H
QAddress
I City/State
License No.
ocMechanical
H
Roo
License No.
Z
Framing
License No.
V
L0 m
Plumbing
License No.
N
Concrete
License No.
REPLACE FURNACE AND WATER HEATER
I8
UanMrucRSn Type Occupancy Grc
Wp No. of Stories Building Height
0
Building Square Footage Stock Plan/Options
(See reverse side for Inspection Description)
OL FNM
As a condition for the issuance of a permit, I hereby declare that 1 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.
Building Permit w/o Subs
$%30.00 1,.I/ 4
Print name of owner/agent
A
IN
Date
TOTAL FEES