HomeMy WebLinkAbout6227 WESTCHASE RD - PERMITS - 3/11/2004Community Planning & Environmental Services
Building & Inspections Division
�i P.O. Box 580 281 N. College Ave.
Fort Collins, CO 80522-0580
cityaf Foy confns phone (970) 221-6760 Fax (970) 224-6134
JOB SITE ADDRESS 6227 WESTCHASE RD
'ERMIT TYPE PER
MECH Mechanical Alteration
Last Name, First, Middle Initial
HAGLER, LEWlS
Z Address City/State
3 6227 WESTCHASE RD FORT COLLINS, t
0 Zip Phone No.
80528 206-49? 9
Rear Setback
0
Z_ Right Side Setback Left Side Setback
Z
NPlat File No. ZBA Case Number Zoning
---� Filing
wLot Block Lot Area Parcel No.
0
Company Name
0 Contractor License No,
Address City/State
Phone I e,,..o.,,,,.,.. --.. —
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PT +T Tn n c n/
License No.
w Mechanical
License No.
T AT n T
Roofing
License No.
F
Z Framing
License No.
U
CIDPlumbing
License No.
Concrete
License No.
INSTALL NEW A!R CONDITIONER
BUILDING PERMIT
Building Valuation
B0101272
ACCOUNT
T DATE
�'1 f'�0�r
1 /',4104 BulIding Pe~illit W/0 Subs
.EVELFTER
ORY TYPE
Residential
ion Type OccupancyGroupLu
ries Building Height
Building Square Footage I Stock Plan/Options
(See reverse side for Inspection Description)
C� F!tiI'll
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, a ndoned or inspected within 180 days from the date of such permit or from the date of the last inspection.
FEE�DATE$
mint name of owner/agent
Signature
Date
TOTAL FEES
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