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HomeMy WebLinkAbout642 SMITH ST - PERMITS - 5/5/2006Community Planning & Environmental Services Building & Inspections Division P.O. Box 580 281 N. College Ave. Fort Collins, CO 80522-0580 City of Fort Collins phone (970) 221-6760 Fax (970) 224-6134 JOB SITE ADDRESS 642 SMITH ST PERMIT TYPE PER WTRHTR Water Heater Last Name, First, Middle Initial MCQUEEN MELISSA A Z Address City/State 3 642 SMITH ST FORT COLLINS, { O Zip Phone No. 80524 224-1973 Front Setback Rear Setback 0 Z Right Side Setback Left Side Setback Z QPlat File No. ZBA Case Number I Zoning District Filing Lot Area company rvame Contractor License No. BUCKHORN HEATING & A/C, INC. H 1369 Address City/State 1016 S. LINCOLN AVE LOVELAND, CO Phone Supervisor Cert. No. 970 622 0978 tiectricai License No. Mechanical License No. o BUCKHORN HEATING I A/C, INC. U Roofing License No. H Z Framing License No. U SOPlumbing License No. tN Concrete License No. WATER HEATER CHANGE OUT I BUILDING PERMIT 1 Building Valuation B0602070 ACCOUNT PERMIT DATE 05/05/2006 Building Permit w/o Subs .EVEL CATEGORY TYPE ISSU_FUL Residential City Sales/Use Tax Construction Type Occupancy Group County Sales/Use Tax in No. of Stories Building Height O Building Square Footage I Stock Plan/Options 9713233011 8053 (See reverse side for Inspection Description) FNP 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 fro th f su ermit or from the date of the last inspection. 5.5.6to Print name of ow a /agent Signature Date TOTAL FEES FEE I DATE PAID I $15. Or 5/5/06 MAP 5/5/06 $3.4 5/5/06