HomeMy WebLinkAbout1512 W Lake St - Permits/Air Conditioner - 07/21/20050 1 ; Community Planning &Environmental Services PERMIT
BUILDING
PERMIT FEES
Building & Inspections Division
P.O. Box 580 281 N. College Ave.
Building valuation
-
City of Fort CoFort Collins, CO 80522-0580
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phone (970) 221-6760 Fax (970) 224-6134 B 0 5 0 3 81 0
:ACCOUNT
FEE
DATE PAID
JOB
SITE ADDRESS 1512 W LAKE ST
PERMIT DATE (�
V 7 ! LJ
BUlid;ng Perm it Subs
15. 0C
7/L I;CJ
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PERMITTYPE
MECfH Mechanical Alteration
PERMIT LEVEL
ISSU_FUL
CATEGORY TYPE
Residential
Last Name, First, Middle Initial
Construction Type
Occupancy Group
DRENNEN, J ARNOLD
Z
Address
City/State
LU
in No. of Stories
Building Height
3
PO BOX 272167
FORT COLLINS, CO
O
O
Zip
80527-2167
Phone No.
482-9100
V Building Square Footage Stock Plan/Options
Front Setback
Rear Setback
0
Z_
Right Side Setback Left Side Setback
• • •
Z
2
Plat File No. ZBA Case Number Zoning District
Subdivision/PUD Filing
(See reverse side for Inspection Description)
u L FINM
Q
W
!
Lot Block Lot Area Parcel No.
0 97154115026
Name Contractor License IN
OCompany
aAddress
City/State
F
OPhone
Supervisor Cert. No.
V
Electrical License No.
iE L EnTin, rC ILC ME 9nn
GO
Mechanical
License No.
W
O
YETI MECHANICAL
H 115'
Roofing
License No.
H
License No.
OFraming
m
�
i
Plumbing
License No.
?
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 m the date of the last inspection.
M:�=( - 6S
name of owner/agent Signature I Date
Print
TOTAL FEES
$15.