HomeMy WebLinkAbout1713 Lake Sherwood Dr - Permits/Furnace - 11/14/2005Community Planning &Environmental Services BUILDING PERMITPERMIT FEES
Building & Inspections Division
P.O. Box 580 281 N. College Ave. Building valuation
Fort Collins, CO 80522-0580
City of Fort Collins phone (970) 221-6760 Fax (970) 224-6134 B 0 5 a 6 7 46 $1 ' 4 2 5.0 0
ACCOUNT FEE DATE PAID
JOB SITE ADDRESS 1713 LAKE SHERWOOD DR PERMIT DATE 11/14/2005 Building Permit w/o Subs $15. 0 11/14/05
PERMIT TYPE PERMIT LEVEL CATEGORY TYPE
MECH Mechanical Alteration ISSU_FUL Residential
Last Name, First, Middle Initial Construction Type Occupancy Group
JOHNS, LUCIE J
Address City/State wp No. of Stories Building Height
3623 87TH AVE NE EVERETT, WA O
O Zip 98205 Phone No. Building Square Footage 0 1 Stock Plan/Options
Front Setback
Rear Setback
Z_
Right Side Setback Left Side Setback
Z
Plat File No. ZBA Case Number
Zoning District
Subdivision/PUD
Filing
Q
wLot
Block
Lot Area
Parcel No.
8730109079
IX
Company Name
I Contractor License No.
Address
Electrical
W
Mechanical
License No.
NORTH, A D AIR
Roofing
License No.
N
ZZ
Framing
License No.
U
m
Plumbing
License No.
N
Concrete
License No.
REPLACE FURNACE
8
t—
(See reverse side for Inspection Description)
OL FNM
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 of owner/agent Signature Date
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