HomeMy WebLinkAbout3524 Silverleaf Ct - Permits/Air Conditioner - 07/15/2005Community Planning & Environmental ServicesNon
Building & Inspections Division BUILDING P E RM I T
PERMIT
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 60503636
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ACCOUNT
FEE
DATE PAID
JOB
SITE ADDRESS
PERMIT DATE
35 4 SI V R EAFCT
0 7 { `' � 0 5
Bui;ui;,q Permit w/o Subs
$15.00
]J15/05
PERMIT
TYPE
PERMIT LEVEL
CATEGORY TYPE
MECH Mechanical Alteration
ISSU FUL
Residential
Last Name, First, Middle Initial
Construction Type
Occupancy Group
LU
Address
City/State
O
No. of Stories
Building Height
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Zip
Phone No.
U
Building Square Footage Stock Plan/Options
80526
225-8082
Front Setback
Rear Setback
, •
• • • •
Z
Z
Right Side Setback Left Side Setback
Plat File No.
ZBA Case Number Zoning District
(See reverse side for Inspection Description)
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J
Subdivision/PLID
Filing
Q
wLot
J
Block
Lot Area
Parcel No.
0
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Company Name
Address
Electrical -
License No.
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Mecharnca
License No.
G
1
H
Roo ing
License No.
Z
Framing
License No.
U
SO
Plumbing
License No.
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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 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.
name of owner/agent
Signature
I $is-001