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104 Yale Ave - Permits/Furnace - 02/14/2011
F6rt,Collins of Site Address 104 YALE AVE Job Valuation $1,977 00 Category Residential Owner MILLER LON Community Development & Neighborhood Services 281 N College Ave Fort Collins CO 80522 970 221 676o 970 224 6_134 fax Building Permit # B1100619 Issued Full 02/14/2011 Permit Type Residential Mechanical 1504 W MOUNTAIN AVE FORT COLLINS CO 80521 Phone 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 It Com sq ft Ind sq it Basement sq ft # of stones Occ Group Const Type Fire Sprklr Stock plan # Stock plan options Contractor FORT COLLINS HEATING & AIR License # H 1309 Supervisor cert # 217 RACQUETTE DR#7 �7 FORT COLLINS CO 80524 i I Phone 970-484-4552 Subcontractors) — F one License Number Mechanical FORT COLLINS HEATING & AIR 970-484-4552 © H 1309 O O O' Work Description FURNACE REPLACE 80 SSK " SCHEDULE INSPECTIONS By Phone 221-6769 " By Web htt//aaweb fc ov com/C►tizenAccess Inspections GL FNM FNP FNE TOTAL FEES PAID AS OF 02/14/11 $15.00 Payment method Trust Account Fee Detail Displayed on Next Page As a condirbon for ilia issuance of a permiL I hereby declare that I am the owneror owners agent, authored to perform the proposed work on the property described herein I agree to comply w M ag ilia requirements contained herein and City ordinances and State laws associated wdh such work. 1 understand Oiat such pemut may be revoked in the event that issuance was based on ehconect rnfomabon This permit shag become mill and void d Ore work autmred by such permit s riot comffeneed suspended abandoned or not inspected within 180 days from the date of such pemiiL Carbon Monoxide Alarm required within 15 feet of each bedroom entrance EFD FEB 14 2011 Signature Print Name Conte Date Form Revised Oct 2010 �.F�ort Collins Site Address Job Valuation Transactions 104 YALE AVE 1 977 00 Category Residenbal Method Check Number Date Paid Amount Paid Trust Account 02/14/2011 $15 00 Receipt issued 02/14/2011 Total Paid to Date $15 00 Fee Description Account Code Fee Amount Permit Flat Fee w/o Subs $15 1000 422010 $15 00 Community Development & Neighborhood Services 281 N College Ave Fort Collins CO 8o522 970 221 676o 970 224 6134 fax Building Permit # B1100619 Issued Full 02/14/2011 Permit Type Residential Mechanical Amount Paid Date Paid Amount Due $15 00 02/14/2011 $0 00 TOTAL FEES $15 00 $15 00 $0 00 TOTAL BALANCE DUE AS OF 02/14/2011 C 00 0�!J O O Fee Amounts are valid for date of this document only Fees subject to change without notice