HomeMy WebLinkAbout912 MARBLE DR - PERMITS - 3/9/2004Community 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 912 MARBLE DR
PERMITTYPE PERMIT
MECH Mechanical Alteration
Last Name, First, Middle Initial
or ESTABROOK, JON P
Z Address City/State
3 912 MARBLE DR FORT COLLINS, CO
O Zip Phone No.
80526 225-3891
Front Setback I Rear Setback
BUILDING PERMIT
Building Valuation
B0401 f 87
ACCOUNT
PERMIT DATE
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EVEL CATEGORY TYPE
ISSU_FUL Residential
Construction Type Occupancy Group
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C) No. of Stories Building Height
0
Building Square Footage Stock Plan/Options
0
Z_ Right Side Setback Left Side Setback • • •
Z
0 Plat File No. ZBA Case Number Zoning District (See reverse side for Inspection Description)
Subdivision/PUD Filing u IL F y M
J
Q
wLot Block Lot Area Parcel No.
J 0 9135221031
Company Name I Contractor License No.
City/State
O
Phone
Supervisor Cert. No.
V
Electrical
License No.
W
Mechanical
License No.
TRQ(li 19E ATING P A!!t '. c
H
Roofing
License No.
License No.
OFraming
U
m
Plumbing
License Na
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Concrete
License No.
INSTALL 2.5 TON 12 SEER A/C SYSTEM
ELECTRIC INSTALLED ON BASEMENT PERMIT # B0100439
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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.
FEE DATE PAID
name
Signature
Date I TOTAL FEES
$1