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Home My WebLink About4265 Southshore Ct - Permits/Furnace - 10/13/2011�of t Collins Site Address: 4265 SOUTHSHORE CT Job Valuation: $1,700.00 Category: Residential Owner: JONSSON, REBECCA T 4265 SOUTHSHORE CT FORT COLLINS, CO 80525 Community Development & Neighborhood Services 281 N. College Ave Fort Collins, CO 80522 970.221.676o 970.224.6134 -.fax Phone: Building Permit #: B1108954 Issued Full: 10/13/2011 Permit Type: Residential Mechanical Zoning: Front setback: Rear setback: Right setback: Left setback: Minor Amend #: Plat File #: ZBA Case #: Zoning district: RL - LOW DENSITY RESIDENTIAL DISTRICT Legal: Subdivision/PUD: Filing #: Lot #: Block #: Code: Res sq ft: Com sq ft: Ind sq ft: Basement sq ft: # of stories: Occ Group: Const Type: Fire Sprklr: Stock plan #: Stock plan options: Contractor: NORTH. COLORADO AIR License #: H-837 Supervisor cert#: 812 STOCKTON AVE FORT COLLINS, CO 80524 Phone: 970-223-8873 Subcontractor(s) — — _Phone License Number Mechanical: NORTH. COLORADO AIR -, 970-223-8873 H-837-- Work Description: REPLACE FURNACE `\ ** SCHEDULE INSPECTIONS *** By Phone: 221-6769 *** By Web: http://amos.fcgov.com/CitizenAccess ** Inspections: GL FNM FNP FNE TOTAL FEES PAID AS OF 10/13/11: $15.00 Payment method: Trust Account " Fee Detail Displayed on Next Page 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. Carbon Monoxide Alarm required within 15 feet of each bedroom entrance. Signature: mail td Print Name: Date: Form Revised Oct 2010 �t Collins Site Address: 4265 SOUTHSHORE CT Job Valuation: $1,700.00 Category: Residential Method Check Number Date Paid Amount Paid Trust Account 10/13/2011 $15.00 Receipt issued: 10/13/2011 Total Paid to Date: $15.00 Fee Description Account Code Fee Amount Permit Flat Fee w/o Subs $15 1000.422010 $15.00 TOTAL FEES: Community Development&Neighborhood Services 281 N. College Ave Fort Collins, CO 80522 970.221.676o 970.224.6134 -fax Building Permit #: B1108954 Issued Full: 10/13/2011 Permit Type: Residential Mechanical Comments NORTH COLO TRUST Amount Paid Date Paid Amount Due $15.00 10/13/2011 $0.00 $15.00 $15.00 kto] Ell 4:7_1WTI ►[d=1Bill W_RKO A111iK killIil $0.00 0.00 Fee Amounts are valid for date of this document only. Fees subject to change without notice.