HomeMy WebLinkAbout435 E Drake Rd - Permits/Furnace - 09/02/2005Community Planning & Environmental Services
Building & Inspections Division
P.O. Box 580 281 N. College Ave.
Fort Collins, CO 80522-0580
c; ty of >�rt coin phone (970) 221-6760 Fax (970) 224-6134
JOB SITE ADDRESS 435 E DRAKE RDA
PERMITTYPE MECH Mechanical Alteration PERMIT
Last Name, First Middle Initial
Ce
JESSEf , GORDONPNILLARUTH
Z Address City/State
3 435 E DRAKE RDA FORT COLLINS, CO
O Zip 80525 Phone No. 223-6157
Front Setback Rear Setback
Z Right Side Setback Left Side Setback
Z
2 Plat File No. ZBA Case Number Zoninq District
,J^
V
uu Lot Block Lot Area
J
OCompany Name Contractor License
CAddress nh,ref�fo
oecmcai
License No.
Q'
Mechanical
License No.
ALB,Aur l a, I;cv1 TG t A,4
01.
G
U
Roofing
License No.
H
ZZ
Framing
License No.
U
Plumbing
License No.
rn
Concrete
License No.
REPLACE FURNACE
I8
No. 99iLJ27725nnn
JUUl
J:
BUILDING PERMIT
Building Valuation
B0505000� r090.00
ACCOUNT FEE DATE PAID
IT DATE n ' �PERMn ri BUiI ud;Iig nEin!It i/0 cGbS '05 10 ki,
EVEL ISSU_FUL CATEGORY TYPE Residential
Construction Type Occupancy Group
LLJ
p No. of Stones Building Height
Q
Building Square Footage Stock Plan/Options
G
(See reverse side for Inspection Description)
IJ L II �My
Vf�
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
Signature
Date
)TA! FEES 1$15-M