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Home My WebLink About3215 Twin Wash Sq - Permits/Air Conditioner - 07/01/2014City of Fort Collins Site Address: 3215 TWIN WASH SQ Job Valuation: $4,500.00 Category: Residential Community Development &Neighborhood Services 281 N. College Ave Fort Collins, CO 80522 970.221.676o 970.224.6134 -fax Building Permit#: B1403378 Issued Full: 07/01/2014 Permit Type: Residential Mechanical Owner: HOWARD ANDREW D/JENNIFER C 3215 TWIN WASH SQ FORT COLLINS, CO 80528 Phone: 970-518-6664 Zoning: Frontsetback: Rearsetback: Rightsetback: Left setback: Minor Amend M Plat File #: ZBA Case #: Zoning district: LMN - LOW DENSITY MIXED -USE NEIGHBORHOOD DISTRICT Legal: Subdivision/PUD: Filing#: Lot#: Block#: Code: Res scl ft: Com scl ft: Ind scl ft: Basement scl ft: # of stories: Occ Group: Const Type: Fire Sprklr: Stock plan #: Stock plan options: Contractor: CUSTOM HEATING & AIR, INC License #: H-1004 Supervisor cert#: 395 DELOZIERDR'#12b FORT COLLINS, CO 80524 Phone: 970-282-7220 Subcontractor(s—f Phone License Number Mechanical { CUSTOM H EATING & AIR,.iNC / 970-282-7220 { j i H-1004._,,,,y n-D Work Description: Replace air conditioner. SCHEDULE INSPECTIONS: *** By Phone: 970-221-6769 *** By Web: http://amos.fcgov.com/CitizenAccess ***By Mobile Device: hftp://amos.fcgov.com/CitizenAccess/amcal Ins ections: GL FNM FNP FNE TOTAL FEES PAID AS OF 07/01/14: $125.13 Payment method: Check 002979 "Foe Detail Displayed on Next Page Asa condition for the issuance of a permit, I herebydedare that I am the owneror owners agent, authorized to perform the proposed work on the properly 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 pernit may be revoked in the event that issuance was based on incorrect information. This pemmt 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. 44 Signature: Z� W'e Print Name: / 114 alG Date: Form Re 2010 ns Site Address: 3215 TWIN WASH SQ Job Valuation: $4,500.00 Category: Residential Transactions Method Check Number Date Paid Amount Paid Check CK#002979 07/01/2014 $125.13 Receipt issued: 07/01/2014 Total Paid to Date: Fee Description Account Code City Sales/Use Tax 251.122030 County Sales/Use Tax 100.217030 Permit Flat Fee w/o Subs $25 1000.422010 TOTAL FEES: F JCI Community Development &Neighborhood Services 281 N. College Ave Fort Collins, CO 80522 97o.221.676o 970.224.6134 -fax Building Permit #: B1403378 Issued Full: 07/01/2014 Permit Type: Residential Mechanical Comments Check #002979 by Custom Heating and Air Conditioning, INC. dba Aire Sery of Fort Collins $125.13 Fee Amount Amount Paid $86.63 $86.63 $13.50 $13.50 $25.00 $25.00 $125.13 $125.13 Date Paid Amount Due 07/01/2014 $0.00 07/01/2014 $0.00 07/01/2014 $0.00 $0.00 TOTAL BALANCE DUE ASrr F 07/01/2014: 0.00 �_- J ,,J L1 Fee Amounts are valid for date of this document only. Fees subject to change without notice.