HomeMy WebLinkAbout6126 TILDEN ST - PERMITS - 4/29/2004Community Planning & Environmental Services
BUILDINGPERMIT
PERMIT
Building & Inspections Division
P.O. Box 580 281 N. College Ave.
Building valuation
Fort Collins, CO 80522-0580
$2r600 00
Phone (970) 221-6760 Fax (970) 224-6134 B0402544
A T
FEE
DATE PAID
JOB
SITE ADDRESS 6126 TILDEN ST
PERMIT DATE 04/29/2004
Building Permit w/o Subs
iaRi
County Sales/Use Tax
$15.0
$39.0
$10. 4
4/29104
.4/29/04
4129 / D 4
PERMITTYPE
MECH Mechanical Alteration
PERMIT LEVEL
ISSU_FUL
CATEGORY TYPE
Residential
Last Name, First,
OLENDER,
Middle Inifiel
KIRT
Construction Type
Occupancy Group
Address
6126 TILDEN ST
City/State
FORT COW NS, CO
p No. of Stories
O
V
Building Height
O
Zip 80526 Phone
No. 226-014$
Building Square Footage
Q
Stock Plan/Options
Front Setback Rear Setback
41
Right Side Setback Left Side Setback
Z
2
Plat File No. ZBA Case Number zoning District
(See reverse side for Inspection Description)
C L F N M
Subdivislon/PUD
Fling
J
Lot
Block
Lot Area O
Parcel No.
OCompany
Name Contractor
License No.
Address CRY/State
OPhone
Supervisor Cert. No.
V
Electrical
License No.
NORTHWEST UNITED ELECTRIC
NE 313
INSTALL AC
E
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 maybe 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.
name
Date