HomeMy WebLinkAbout619 MANSFIELD DR - PERMITS - 6/15/2004Community Planning & Environmental Services BUILDING
Building & Inspections Division
P.O. Box 580 281 N. College Ave. Building Valuation
Fort Collins, CO 80522-0580
c't` off c Phone (970) 221-6760 Fax (970) 224-6134 B0403846
JOB SITE ADDRESS etg mmsm LD DR PERMIT DATE 06/15/2004 Building Permit w/o Subs $15.0 6/15/0I
PERMIT TYPE PERMIT LEVEL CATEGORY TYPE tk i-
MECN Mechanical Allerafion ISSU_FUL fteslc{Mial
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Righi Side Setback
Left Side Setback
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Plat File No.
ZBA Case Number
Zoning District
Subdivision/PUD
Filing
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Lot
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Lot Area
Parcel No.
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9725412160
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Company Name
Comrnctor License No.
Address
City/State
6
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License
iee reverse side for Inspection
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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