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Home My WebLink About1004 Meadowbrook Dr - Permits/Furnace - 06/26/2018City of F6rt Collins 1/1000 �1-1 Site Address 1004 MEADOWBROOK DR Job Valuation $7,750 00 Category Residential Owner HUSBY BENJAMIN HOWARD/LISA ANNE 1004 MEADOWBROOK DR FORT COLLINS CO 80521 Community Development & Neighborhood Services 281 N College Ave Fort Collins CO 80522 970 221 676o 970 224 6134 fax Building Permit # B1804937 Issued Full 06/26/2018 Permit Type Residential Mechanical Phone 970 682 0661 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 Corn sq ft Ind sq ft # of stories Occ Group Const Type Fire Sprklr Stock plan # Stock plan options Contractor ALLEN PLUMBING & HEATING ' r License # 101 S LINKAVE r r �1 --3 Basement sq ft H 871 Supervisor cert # FORT COLLINS CO 80521 `� i Phone 970-484-4841 Subcontractor(sE �� LJ s \,r �)) � Phone Mechanical �ALLEN PLUMBING MBING & HEATING C970-484-4841 01, t V Lj �,-D ( Work Description Replace furnace and install new furnace License Number H 871 II SCHEDULE INSPECTIONS *** By Phone 970 221 6769 *** By Web http //www fcgov com/CitizenAccess II ***By Mobile Device http //www fcgov com/CitizenAccess/mobile IlPossible Inspections Reauired 204 302 300 301 II TOTAL FEES PAID AS OF 06/26/18 $195.50 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 Print Name Date Form Revised Oct 2010 City of F6rt Collins Site Address 1004 MEADOWBROOK DR Job Valuation $7,750 00 Category Residential Community Development & Neighborhood Services 281 N College Ave Fort Collins CO 80522 970 221 676o 970 224 6134 fax Building Permit # B1804937 Issued Full 06/26/2018 Permit Type Residential Mechanical Transactions Method Check Number Date Paid Amount Paid Comments Trust Account 06/26/2018 $195 50 Receipt issued 06/26/2018 Total Paid to Date $195 50 Fee Description Account Code Fee Amount Amount Paid Date Paid Amount Due City Sales/Use Tax 251 122030 $149 19 $149 19 06/26/2018 $0 00 County Sales/Use Tax 100 217030 $21 31 $21 31 06/26/2018 $0 00 Permit Flat Fee w/o Subs $25 1000 422010 $25 00 $25 00 06/26/2018 $0 00 TOTAL FEES $195 50 $195 50 $0 00 7 17 (TOTAL BALANCE DUE AS OF 06/26/2018 0 00 CCE� (D3 r k � � Fee Amounts are valid for date of this document only Fees subject to change without notice