HomeMy WebLinkAbout1901 Osage St - Permits/Air Conditioner - 06/24/2005Community Planning & Environmental Services BUILDING PERMITPERMIT
FEES
Building & Inspections Division
a 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) 224-6134F B 5 d dl 9
ACCOUNT
FEE
DATE PAID
JOB
SITE ADDRESS
PERMIT DATE
19o1 OSAGE ST
015 24 2 00!5
PERMITTVPE
PERMIT LEVEL
CATEGORY TYPE
MECH Mechanics! Alteration
ISSU_FUL
Residential
Last Name, First, Middle Initial
Construction Type
Occupancy Group
w
Address
City/State
p No. of Stories
Building Height
1901 OSA T
FORT COLLINS CO
O
Zip Phone
No.
V Building Square Footage
Stock Plan/Options
80525-1529
482-2866
Front Setback Rear
Setback
'
Z_
Right Side Setback Left Bitle Setback
Z
Plat File No. ZBA Case Number zoning District
Subdivisioni Filing
(See reverse side for Inspection Description)
ui FNM
(Q
Lot Block Lot Area Parcel No.
0 9724110055
Name Contractor License No.
y
OCompany
QAtldress
City/State
oO2
Phone Supervisor Can. No.
V
Electrical License No.
do
C
Mechanical
r,
License No.
H e
0
Roofing
License No,
Z
8
Framing
License No,
Plumbing
License No.
N
Concrete
License No.
INSTALL AC
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 maybe 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.
name of owner/agent Signature Date
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TOTAL FEES