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HomeMy WebLinkAbout629 SMITH ST - PERMITS - 5/21/2004Community Planning & Environmental Services Building & Inspections Division P.O. Box 580 281 N. College Ave. Fort Collins, CO 80522-0580 c>ifvofFort Collins phone (970) 221-6760 Fax (970) 224-6134 JOB SITE ADDRESS 629 SMITH ST PERMITTYPE MECH Mechanical Alteration Last Name, First, Middle Initial fie GORMAN TODD C LU Z Address City/State 3 629 SMITH ST FORT Ct O Zip Phone No. 80524-3120 224-5483 BUILDING PERMIT Building Valuation B0403238 ACCOUNT PERMIT DATE 05/21 /2004 Building Permit w/o Subs .EVEL CATEGORY TYPE ISSU_FUL Residential Construction Type Occupancy Grc wp No. of Stories Building Height OBuilding Square Footage I Stock Plan/Options c� Z_ Right Side Setback Left Side Setback CALL 221-6769 Z � D' O Plat File No. ZBA Case Number Zoning District (See reverse side for Inspection Description) _ Subdivision/PUD Filing CL FNM Q JLot Block Lot Area Parcel No. 0 9713214005 OCompany Name Contractor License IN F— Address City/State H Z Phone Supervisor Cert. No. O V Electrical I ia� mecnanicai License No. O Roofing License No. t— OFraming License No. V 90 Plumbing License No. Concrete License No. ADD ON AIR CONDITIONING & REPLACE FURNACE 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 om the date of such p it or from the date of the last inspection. <5 �1 Print name of owner/agent ignatu a Date I TOTAL FEES FEE DATE PAID i30.0 5/21/04