HomeMy WebLinkAbout615 W LAKE ST - PERMITS - 8/19/2003Community 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 ADDRESS615 W LAKE ST
PERMITTYPE PER
PLUM Plumbing Alteration
Last Name, First, Middle Initial
Ine LEMERTJEANETTE
Z Address City/State
3 3275 PASEO SE UNDA SANTE FE NM
Zip Phone No.
87501 482-3682 ALDIN HIL
Z Right Side Setback
Z
Plat File No.
Left Side Setback
Zoning District
J ,
Q
w I Lot Block Lot Area Parcel No.
Q 9714300018
OCompany Name Contractor License No.
GAddress Citv/State
BUILDING PERMIT
Building Valuation
B0305488 ACCOUNT
PERMIT DATE
08iu ;,00 i uildiq Per7iit w/o SuuS
LEVEL I CATEGORY TYPE
tlectncal
License No.
Mechanical
License No.
0
Roofing
License No.
Z
Framing
License No.
U
m
Plumbing
License No.
N
Al I FN PI 11IRRING A HE AT T ,,
lip
Concrete
License No.
REPLACE SEWER
8
I —
7
Residential
p No. of Stories Building Height
OI Building Square Footage I Stock Plan/Options
(See reverse side for Inspection Description)
RPOt 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 des from the d9"f such perm*or)r6m-Nhe date of the last inspection,
FEE
$10It. 50
DATE PAID
0/18/0'
TOTAL FEES
$104.50