HomeMy WebLinkAbout609 SMITH ST - PERMITS - 5/4/2001-0
Community Planning &Environmental Services BUILDING P E RM I T
PERMIT FEES
Building &Inspections Division
P.O. Box 580 281 N. College Ave.
is
Building valuation
Fort Collins, CO 80522-0580
CityofF�
73$ 28
Phone (970) 221-6760 Fax (970) 224-6134 60102336
ACCOUNT
FEE
DATE PAID+,
JOB
SITE ADDRESS 609 SMITHST
PERMIT DATE 05/04/200 1
Building Persit w/o Subs
$15.00
5/4/01
'
PERMIT
TYPE
MECH Mechanical Akeration
PERMIT LEVEL
ISSU_FUL
CATEGORY TYPE
I RESIDENTIAL
Last Name, First, Middle Initial
Construction Type
Occupancy Group
ce
SMITH, MARK EDMUND
Z
p
Address
City / State
No. of Stories
Building Height
3
479 WRIGHT ST i102
LAKEWOOD, CO
0
O
Zip Phone
No. 303-Wril-gM
Building Square Footage
Stock Plan/Opfions
8=8
0
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/Pl1D Filing
GL FMM
Q
wLot
Block Lot Area Parcel No. O
9713214010
Name Contractor License No.
OCompany
"
Address
City/state
Z
Phone Supervisor Cert. No.
V
Electrical License No.
-
ME-407
Mechanical
License No.
aO
POUDRE VALLEY AIR
M-835
Roofing
License No.
0
Framing
License No.
m
Plumbing
License No.
kn
INSTALL AIR CONDITIONER.
iL r t.
a I
23
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 not inspected within 180 days from the date of such permit or from the date of the last inspection.
name of owner/agent Signature Date
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