HomeMy WebLinkAbout618 HOLYOKE CT - PERMITS - 7/18/2006Community Planning &Environmental Services
Building & Inspections Division BUILDING P E RM I TPERMIT
FEES
P.O. Box 580 281 N. College Ave.
gilding Valuation
Fort Collins, CO 80522-0580
City of Fort Collins phone (970) 221-6760 Fax (970) 224-6134 60603473
ACCOUNT
FEE
C}ATE PAID
JOB
SITE ADDRESS
PERMIT DATE
Irvy0KE
"7
Building Permit w/o Sub
$15.
0 7/18/0
PERMIT
TYPE
PERMIT LEVEL CATEGORY TYPE
Last Name, First, Middle Initial Construction Type Occupancy Group Resident
w
AddressRA'
wp
'
City/State No. of Stories Building Height
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RT- COLLINS CC)
Zip Phone No. O BuiAnggrz lding Square Footage Stock Plan/Options
303-596-3573
Front Setback
Rear Setback
_Z
Z
Right Side Setback
Left Side Setback
• •
Plat File No. ZBA Case Number Zoning District
Subdivision/PUD Filing
(See reverse side for Inspection Description)
C L i f N M M
Q
WLot
Block Lot Area Parcel No.
Company Name Contractor License No.
W
V
.� C C 1 n
Addres City/State
0
T n c
Phone Supervisor Cert. No.
4
V
Electrical License No.
OMechan
al License No.
l—J
SEASONSnAiR r n
r)
Roofin License No.
H
ZZ
Framing License No.
V
�
Plumbing License No.
V)
Concrete License No.
INSTALL NEW AIR CONDITIONER
V
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
commen11ce��d,
suspen`1de�"�d, 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
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FEES