HomeMy WebLinkAbout921 HAZEL CT - PERMITS - 5/31/2000Community Planning &Environmental Services BUILDING PERMIT
Building & Inspections Division
PERMIT
FEES
P.O. Box 580 281 N. College Ave.
Building Valuation
$3.759.00
Fort Collins, CO 80522-0580
City
of Fort Collins 80012923
Phone (970) 221-6760 Fax (970) 224-6134
ACCOUNT
DAT9,AAA61
JOB
SITE ADDRESS 921 HAZEL CT FrCO
PERMIT DATE OW1/2000
Building Permit WO/Sub:
$15.00
05/31/200
PERMIT
TYPE
MECH Mechanical Alteration
PERMIT LEVEL
tSSU_F'UL
CATEGORY TYPE
RESIDENTIAL
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Last Name, First, Middle Initial
GUSSARD, RICHARD
Construction Type
Occupancy Group
Z
3
Address
921 HAZEL CT
Ciry /State
FORT COLLINS, CO
wp
O
No. of Stories
Building Height
O
Zip 80526
Phone No.
V Building Square Footage Stock Plan/Options
Front Setback
Rear Setback
D
C9
t
I •
Z
Z
�s
,.
Right Side Setback Left Side Setback
Q
IPlat File No. I ZBA case Number Zoning District
Subdivision/PUD Filing
fir •
(See reverse side for Inspection Description(
GL FNM
J
Q
Lot Block Lot Area O Parcel k02313054
Name Contractor License No. `JW
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-
OCompany
GAddress
City/State
a
Supervisor Cert. No.
OPhone
V
Electrical License No.AAM
m
ELECTRIC M&W d
O
....
hamca
Mechanical
POUDRE VALLEY AIR
License No.
"35
Roofing
License No.
Z
i
Framing
License No.
m
V)
Plumbing
License No.
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ADD AIR CONDITIONING
As a
described
cobldition for the issuance of a permit, I hereby declare that I am an owner or the owner' agent, authorized to perform the proposed work on the property
herein. I agree to comply with all City ordinances, and State laws
event
commenced,
associated with su work. I understand that such permit may be revoked in the
that issuance wa o based incorrect or incomplete information. This permit shall b me II and void if the work authorized by such permit is not
suspen d, dol inspected
not within 180 days from the ate o>stcbOrmit r from the date of the last inspection.
A�
JQ/f �LSSi'�l ` S >
na e ot owner/agent Signatur Date
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