HomeMy WebLinkAbout6903 LYEENA CT - PERMITS - 5/5/2004Community Planning &Environmental Services BUILDING P E RM I TPERMIT
FEES
Building & Inspections Division
P.O. Box 580 281 N. College Ave.
Building valuation
i Fort Collins, CO 80522-0580
City of Fort Collins Phone (970) 221-6760 Fax (970) 224-6134 60402714
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ACCOUNT
FEE
DATE PAID
JOB
SITE ADDRESS 6903 LYEENA CT
PERMIT DATE
05/05/2004
Building Permit w/o Subs
City Sales/Use tax
County Sales/Use Tax
$15.0
$37.5
OE
5/5/04
5/5/04
5/5/04
PERMIT
TYPE
MECH Mechanica!Altembon
PERMIT LEVEL
ISSU_FUL
CATEGORY TYPE
Residential
Last Name, First, Middle Initial
LAWLESS, CHERYL
Construction Type
Occupancy Group
Z
3
p
O
Address
6903 LYEENA Cr
City/State
FORT COLLINS, CO
No. of Stories
Building Height
O
V
Zip 80828
Phone No.
rz9-oar
Building Square Footage Stock Plan/Options
0
Front Setback
Rear Setback
, •
i�
Z
Right Side Setback
Left Side Setback
• • • •
Q
'
Plat File No. ZBA Case Number
Subdivision/PUD
Zoning District
Filing
N
(See reverse side for Inspection Description)
GL FNN
J
w
J
Lot Block Lot Area O Parcel No. 9614112052
0
Name Contractor License No.
OCompany
V
Q
Address City/Stare
ZO
Phone Supervisor Cert. No.
V
Electrical License No.
W
Mechanical
ATP HEATING 8 A/C
License No.
H 1762
Roofing
License
No.
H
OFraming
License
No.
V
Plumbing License
No.
rn
Concrete License
No.
AC INSTALL
ELECTRICAL ALREADY DONE
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 da s from the date of such permit or from the date of the last inspection.
name of owner/agent Sign ture Date
Print
TOTAL FEES
$6,2,