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HomeMy WebLinkAbout912 CHEYENNE DR - PERMITS - 2/11/2004Community Planning & Environmental Services Building & Inspections Division i 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 912 CHEYENNE DR PERMIT TYPE PEF MECH Mechanical Alteration Last Name, First, Middle Initial LU Z Address City/State Z FORT COLL INS O Zip Phone No. an��s_y ��a n4d-t�cl5� Front Setback Rear Setback Z_ Right Side Setback Left Side Setback Z NPlat File No. ZBA Case Number Filing Q 0 Lot Block Lot Area J Contractor License No. Address Electrical License No. Ine Mechanical License No. C" T t• T " TT In T H Roofin r License No. Z Framing License No. O V m Plumbing License No. D rn Concrete License No. REPLACE AIR CONDITIONING BUILDING PERMIT Building Valuation B0400680 ACCOUNT PERMIT DATE bs �Uil(iiiiy rctfi if/v JIu LEVEL CATEGORY TYPE ISSU FUL Residential Construction Type Occupancy Group 0 No. of Stories Building Height O V Building Square Footage I Stock Plan/Options (See reverse side for Inspection Description) (II IA'M UL ,11M 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. FEE DATE PAID dd `SI f J, V if i i /U4 Print name of owner/agent Signature Date TOTAL FEES