HomeMy WebLinkAbout3219 Silverwood Dr - Permits/Furnace - 10/13/2005Planning &Environmental Services BUILDING PERMITPERMIT
FEES
Building & Inspections Division
imCommunity
P.O. Box 580 281 N. College Ave.
Building Valuation
Fort Collins, CO 80522-0580
$2 096.00
CiiyofFort Collins
. phone (970) 221-6760 Fax (970) 224-6134 B0506041
ACCOUNT
FEE
DATE PAID
JOB
SITE ADDRESS 3219 SILVERWOODDR
PERMIT DATE 10/ 13/2005
Building Pemit w/o Subs
$15.0
10/13/05
PERMIT
TYPE
MECH Mechanical Alteration
PERMIT LEVEL
ISSU_FUL
CATEGORY TYPE
Residential
Last Name, First, Middle Initial
Construction Type
Occupancy Group
LEMESANY, GARY USHARI K
w
Address
City/State
Wp No. of Stories
Building Height
3219 SILVERWi00D DR
I FORT COLLINS. CO
O
V
0
Zip 80525-2864
223-6255 Phone No.
Building Square Footage
Stock Plan/Options
Front Setback
Rear Setback
Z_
Right Side Setback Left Side Setback
• • •
Z
2
Plat File No. ZBA Case Number Zoning District
(See reverse side for Inspection Description)
Subdivision/PUD Filing
0 L F N K
Q
WLot
—'
Block Lot Area Q Parcel No.
8730307083
Name Contractor License No.
OCompany
Address City/State
H
Z
Phone Supervisor Cart. No.
V
Electrical License No.
p[
Mechanical
License No.
Roofing
License No.
0
Framing
License No.
m
Plumbing
License No.
N
Concrete
License No.
INSTALL FURNACE
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.
name of owner/agent Signature Date
TOTAL: FEES
$15-OP
Print