HomeMy WebLinkAbout6227 CLYMER CIR - PERMITS - 2/27/2004Community Planning & Environmental Services PERMIT FEES
Building & Inspections Division BUILDING PERMIT
P.O. 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 0 0 9 7
ACCOUNT FEE DATE PAID
PERMIT DATE
JOB SITE ADDRESS 6227 CLYMERCIR ran
,,'7 /i OvId q Permnit ��� Subs $15.0 Z/'2; C4
PERMIT TYPE PERMIT LEVEL CATEGORY TYPE
Rosidential
MECH Mechanical Alteration
Last Name, First, Middle Initial Construction Type Occupancy Group
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LU Z Address City/State wp No. of Stories Building Height
Zip Phone No. O Building Square Footage I Stock Plan/Options
Front Setback I Rear Setback
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Right Side Setback
Left Side Setback
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Plat File No.
ZBA Case Number
Zoning District
Subdivision/PUD
Filing
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wLot
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Block
Lot Area
Parcel No.
95
Company Name
I Contractor License No.
Address
Phone
Electrical
License No.
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Mec 2 idal " `
License No.
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Roohn
License No.
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Framing
License No.
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Plumbing
License No.
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Concrete
License No.
ADD NEW AIR CONDITIONER
(See reverse side for Inspection Description)
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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
Date
TOTAL FEES