HomeMy WebLinkAbout1109 Sycamore St - Permits/Furnace - 03/22/2005Community Planning & Environmental Services
,&�Qqs Building & Inspections Division
P.O. Box 580 281 N. College Ave.
Fort Collins, CO 80522-0580
CityofFortCollins phone (970) 221-6760 Fax (970) 224-6134
JOB SITE ADDRESS
BUILDING PERMIT
Building Valuation
B0501207
ACCOUNT
PERMIT DATE ljjll,"27 —1 8 u i i id iii9 P er"ml M,
PERMITTYPE rilm%-rf mechanlCal Alleration PERMIT LEVEL CATEGORY TYPE ResidentW
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AddrK20 S. COLLEGE AVE City/StateFORT COLON ,
� Zip 80525 1 Phone No. 482-9098
_Z Right Side Setback Left Side Setback
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2 Plat File No. ZBA Case Number Zoning District
J Subdivision/PUD Filing
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wLot Block Lot Area Parcel No. ,
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OCompany Name Contractor License No.
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Q Address City/State
Phone I Supervisor Cart. No.
O Mect?niial H H T C 8 A/C , TN
Roofing
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Z Framing
V
SO Plumbing
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License No. H 18 3 1
License No.
License No.
License No.
Construction Type Occupancy Group
inNo. of Stories Building Height
U
Building Square Footage Stock Plan/Options
(e reverse side for spection Description)
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.
$1,000.00
FEE I DATE PAID'
name of owner/agent
Signature
Date
TOTAL FEES