HomeMy WebLinkAbout815 W Magnolia St - Permits/Furnace - 12/15/2009�of
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Site Address: 815 W MAGNOLIA ST
Job Valuation: $3,900.00 Category: Residential
Owner: SAMSON, ANN R/CHARLES E
815 W MAGNOLIA ST
FORT COLLINS, CO 80521
Zoning: Front setback: Rear setback:
Zoning district: NCM Plat File #:
Legal: Subdivision/PUD:
Code: Res sq ft:
# of stories:
Stock plan #:
Com sq ft:
Occ Group:
Contractor: R & H HTG & A/C, INC
201 SMOKEY.Sf
FORT COLLINS, CO 80525
Subcontractor(s)— ,
Mechanical: i �R-&-H HTG & A/C, INC
Community Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6134 -fax
BUILDING PERMIT #: B0907926
Issued Full: 12/15/2009
Permit Type: Residential Mechanical
Phone: 303-927-9541
Right setback: Left setback:
ZBA Case #: Minor Amend #:
Filing #: Lot #: Block #:
Ind sq ft:
Const Type:
Stock plan options:
Basement sq ft:
License #: H-1831 Supervisor cart #:
Phone: 970-226-3619
Phone ( License Number
"---Phone
9707226-3619 I � I � � H-1831
i
Work Description: REPLACE FURNACE -
** SCHEDULE INSPECTIONS *** By Phone: 221-6769 *** By Web: http://aaweb.fcgov.com/CitizenAccess**
Inspections: GL FNM FNP FNE
TOTAL FEES PAID AS OF 12/15/09 $15.00 Payment method: Check 8179
As a condition for the issuance of a permit, I hereby declare that I am the owner or owners 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: