HomeMy WebLinkAbout414 PLOWMAN WAY - PERMITS - 6/2/2004Community Planning &Environmental Services
FEES
Building & Inspections Division BUILDING P E RM I TPERMIT
P.O. Box 580 281 N. College Ave.
Building Valuation
-
Fort Collins, CO 80522-0580F
City of Fort Collins phone (970) 221-6760 Fax (970) 224-6134 Bi 0 4 0 3 4 3
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ACCOUNT
FEE
DATE PAID
JOB
SITE ADDRESS 414 PLOWMAN WAY
PERMIT DATE
06/02J2004
Building Permit w/o Subs
City Sales/Use Tax
County Sales/Use Tax
$15.0
$22.5
$6.0
6/2/04
6/2/04
6/2/04
PERMIT
TYPE
MECH Mechanical Alteration
PERMIT LEVEL
ISSU_FUL
CATEGORY TYPE
Residential
ac
W
Last Name, First, Middle Initial
SHARMA, SAR JEER
Construction Type
Occupancy Group
Address City/State
414 PLOWMAN WAY F t' COLLINS, CO
p No. of Stories
O
V
Building Height
Z
3
ZAP 8No.
�5
Building Square Footage Stock Plan/Options
Front Setback
ear Setback RPhone
Z_
Z
•
Right Side Setback Left
Side Setback
0
Plat File No. ZBA Case Number
Subdivision/PUD
Zoning District
Filing
(See reverse side for Inspection Description)
CL FIIM
J
wLot
Block Lot Area Parcel No.
Name Contractor License No.
OCompany
V
Address City/State
F-
ZPhone
Supervisor Cent. No.
V
Electrical License No.
oC
F 1 F
Mechanical
License No.
F—
Roofing
Framing
License No.
License No.
Z
V
Plumbing
License No.
00
V)
Concrete
License No.
INSTALL AIR CONDITIONING UNIT - HOME ALREADY PREWIRED AND LINE IS SET
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
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