HomeMy WebLinkAbout2107 Kirkwood Ct - Permits/Furnace - 08/22/2005ITz, Community Planning &Environmental Services BUILDING
� � � � � � � PERMIT
PERMIT FEES
Building & Inspections Division
�i P.O. Box 580 281 N. College Ave. Building Valuation
Fort Collins, CO 80522-0580 1 345.00
City of Fort Collins phone (970) 221-6760 Fax (970) 224-6134 B0504661
ACCOUNT FEE DATE PAID
JOB SITE ADDRESS 2107 KIRKWOOD C , PERMIT DATE
T 4.� J//L/ 4 j Building Per;ilit wfo Subs $15.0 8/22/C5
PERMIT TYPE PERMIT LEVEL CATEGORY TYPE
MECH Mechanical Alteration ISSU_FUL Residential
Last Name, First, Middle Initial Construction Type Occupancy Group
Cie HLAVERSON, MIKE
Z Address LU
City/State in No. of Stories Building Height
3 2107 KIRKWOOD CT FORT COLLINS, CO
6 Zip Phone No.
80525 491-9646 V Building Square Footage Stock Plan/Options
Front Setback Rear Setback ! , •
_Z Right Side Setback Left Side Setback • • • •
Z
Plat File No. ZBA Case Number Zoning District (See reverse side for Inspection Description)
J Subdivision/PUD Filing u 1L Ili hl
WLot Block Lot Area Parcel No.
5719313II10
95 Company Name i i .o ni.,
Address
Phone
niecrricai
License No.
License No.
OMechanical
C
, 0 n7 , rn1 n I) ATP,
Roofing
License No.
F—
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Framing
License No.
U
cO
Plumbing
License No.
rn
Concrete
License No.
REPLACE FURNACE
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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.
Print name of owner/agent
Date
TOTAL FEES 1 $1!