HomeMy WebLinkAbout919 BITTERBRUSH LN - PERMITS - 2/12/2004Community 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 sus BITfERBRUSH
PERMIT TYPE
MECH Mechanical Alteration
FLastName, First, Middle Initial
w ess City/State
ZO Phone No.
BUILDING PERMIT
Building Valuation
B0400705 ACCOUNT
PERMIT DATE
IT LEVEL CATEGORY TYPE
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Construction Type Occupancy Group
Lu -Na of Stories Building Height
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U Building Square Footage I Stock Plan/Options
Front Setback near beloacK RE(A11RE0
0 CALL 221-6769
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SCHEDULE •
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Plat File No. ZBA Case Number Zoning District (See reverse side for Inspection Description)
Subdivision/PUD Filing j F 'I N
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w Lot Block Lot Area
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OCompany Name Contracto
Address City/State
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Z Phone I Supervisor Cert. No.
Electrical
License rvo.
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Mechanica
License No.
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License No.
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Framing
License No.
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Plumbing
License No.
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License No.
INSTALL AC
Parcel No.
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building Permit k/o'Jubs
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 from the date of such permit or from the date of the last inspection.
MA ; TOTAL FEES
Print name of owner/agent Signature Date
FEE I DATE PAID I
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