HomeMy WebLinkAbout6320 FOSSIL CREEK CIR - PERMITS - 5/26/2004Planning &Environmental Services
FEES
Building & Inspections Division BUILDING P E RM I TPERMIT
6aCommunity
P.O. Box 580 281 N. College Ave.
Building Valuation
Fort Collins, CO 80522-0580
City of Fort Collins phone (970) 221-6760 Fax (970) 224-6134 80403362
ACCOUNT
FEE
DATE PAID
JOB
SITE ADDRESS
PERMIT DATE
�� FOSSlLCREEKCIR
Building Permit w/o Subs
$i5.0
5/26/04
PERMIT
TYPE
PERMIT LEVEL
MECH Mechanical Alteration
I
CATEGORY TYPE
Residenba
Last Name, First, Middle Initial
Construction Type
Occupancy Group
d
w
Z
3
Address City/State
FOSSIL
O No. of Stories
Building Height
MEEK IR F RTJNS. CO
V
Zip Phone No.
811IM8 I ZM-W 2
Building Square Footage Stock Plan/Options
Front Setback
Rear Setback
_Z
Z
Right Side Setback Left
Side Setback
' • • •
•
Plat File No. ZBA Case Number Zoning District
Subdivision/PLID Filing
(See reverse side for Inspection Description)
L FNM
Q
LOU
Lot Block Lot Area Parcel No.
Name Contractor License No.
OCompany
V
Address City/State
F-
Z
Phone Supervisor Cert. No.
V
Electrical License No.
OMechanical
License No.
H
Roofing
License No.
H
Z
0
Framing
License No.
v
Plumbing
License No.
Concrete
License No.
INSTALL NEW AIR CONDITIONER
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.
name of owner/agent Signature Date
Print
TOTAL FEES
$15