HomeMy WebLinkAbout1221 W Oak St - Permits/Furnace - 10/08/2009of
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Site Address: 1221 W OAK ST
Job Valuation: $2,245.74 Category: Residential
Owner: BERNUM, RICHARD
1965 S VIEW DR
FORT COLLINS, CO 80524-5012
Zoning: Front setback: Rear setback:
Zoning district: NCL Plat File #:
Legal: Subdivision/PUD:
Code: Res sq ft: Com sq ft:
# of stories: Occ Group
Stock plan #:
Contractor: POUDRE VALLEY AIR
2416 DONELLA CT #A
FORT COLLINS, CO 80524
Subcontractor(s
Mechanical: POUDRE VALLEY AIR -
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Work Description: REPLACE FURNACE
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Neighborhood & Building Services
281 N. College Ave. Fort Collins, CO 80522-058o
Phone:970-221-676o Fax:970-224-6134
BUILDING PERMIT #: B0906323
Issued Full: 10/08/2009
Permit Type: Residential Mechanical
Phone: 970-493-4532
Right setback:
ZBA Case #:
Filing #: Lot #:
Ind sq ft:
Const Type:
Stock plan options:
License #: H-835
Left setback:
Minor Amend #:
Block #:
Basement sq ft:
Supervisor cert #:
Phone: 970-493-2050
License Number
** SCHEDULE INSPECTIONS *** By Phone: 221-6769 *** By Web: http://aaweb.fcgov.com/CitizenAccess**
Inspections: GL FNM FNP FNE
TOTAL FEES PAID AS OF 10/08/09 $15.00 Payment method: Trust Account
Asa condition for the issuance of a permit, I hereby declare that I am the owner or owner's agent, authorized to perform the proposed work on the property described herein.
I agree to comply with all the requirements contained herein, and 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 information. This permit shall become null and void if the work authorized by such permit is not commenced,
suspended, abandoned or not inspected within 180 days from the date of such permit.
Signature: Print Name:
Form Revised Oct 2008
Date: