HomeMy WebLinkAbout4307 REVERE CT - PERMITS - 3/1/2004Community Planning &Environmental Services BUILDING PERMITPERMIT FEES
Building & Inspections Division
Box 580 281 N. College Ave. Building valuation
Fort Collins, CO 80522-0580
City of Fort Collins phone (970) 221-6760 Fax (970) 224-6134 B 0 4 01016 1:�QQ Inn
ACCOUNT FEE DATE PAID
JOB SITE ADDRESS PERMIT DATE
43tJ? REVERE r�^ Building Permit Fi/0 SUI)s $15.03; 1/04
PERMIT TYPE PERMIT LEVEL CATEGORY TYPE
MECH Mechanical Alteration ISSU FUL Residential
Last Name, First, Middle Initial Construction Type Occupancy Group
w AddressLU
Z City/State in No. of Stories Building Height
O Zip Phone No. O Building Square Footage Stock Plan/Options
8 5 -3329 229-0425
Front Setback
Z_ Right Side £
Z
Plat File No.
Number I Zoning District
Q
wLot Block Lot Area Parcel No,
J
OCompany Name Contractor License No.
H
QAddress City/State
Electrical
o:: Mechanical
OA i I
Roofing
H
Z Framing
0
U
m Plumbing
V)
h
Concrete
REPLACE FURNACE
License No.
License No.
License No.
License No.
License No.
(See reverse side for Inspection Description)
uL r1M
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.
Print name of owner/agent Signature e �� TOTAL FEE 9 Date S