HomeMy WebLinkAbout924 Alexa Way - Permits/Furnace - 02/14/2005Community Planning &Environmental Services BUILDING P E RM I TPERMIT 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 B0500647 ' $ '
ACCOUNT FEE DATE PAID
JOB SITE ADDRESS 924 ALEXA WAY PERMIT DATE
C2/'14/ACC:; Building Permit w/o Subs y15.4 2/14J45
PERMIT TYPE PERMIT LEVEL CATEGORY TYPE
MECH Mechanics! Alteration ISSU_FUL Residential
Last Name, First, Middle Initial Construction Type Occupancy Group
Ce HARTMANN. RON & GLENDA
LLJ
Address City/State 0p No. of Stories Building Height
> 924 ALEXA WAY FORT COLLINS, CO O
O Zip Phone No. U Building Square Footage Stock Plan/Options
80526-4352 226-1446 0
Z_
Right Side Setback Left Side Setback
CALL 221-6769
ZTO
SCHEDULE INSPECTIONS
Plat File No. ZBA Case Number Zoning District
(See reverse side for Inspection Description)
41. F N M
J
Subdivision/PUD
Filing
Q
w
Lot
Block
Lot Area
Parcel No.
0
a
9ii423O9423
OCompany
Name
Contractor License No.
QAddress
City/State
H
Z
O
Phone
Supervisor Cert. No.
U
Electrical
License No.
d'
Mechanical
License No.
O
AMERICAN SERVICES INC
H 970
Roofing
License No.
H
OFraming
License No.
U
Plumbing
License No.
N
Concrete
License No.
INSTALL NEW FURNACE
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 I TOTAL FEES $1