HomeMy WebLinkAbout473 DENNISON AVE - PERMITS - 7/13/2004Community Planning & Environmental Services
Building &Ins Inspections Division
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BUILDING PERMIT
P.O. Box 580 281 N. College Ave.
Building Valuation
Fort Collins, CO 80522-0580
Cityof Port Collins
Phone (970) 221-6760 Fax (970) 224-613440$
JOB SITE ADDRESS
PERMIT DATE
PERMIT TYPE
473 DENNISONA1tE
13
Building Permit w/o Subs
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MECH
Mechanical Ahetation
PERMIT
LEVEL
ISSU
FUL
CATEGORY TYPE
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Last Name, First, Middle Initial
Construction Type
Occupancy Group
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Address
City/State
No. of Stories
Building Height
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Zipsom
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Phone No.
Building Square Footage Stock Plan/Options
Front Setback
Rear Setback
F
Z
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Right Side Setback
Left Side Setback
Plat File No.
ZBA Case Number
Zoning District
(See reverse side for Inspection Description)
J
Subdivision/PUD
Filing
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Lot
Black Lot Area
Parcel No.
4
9735157030
Company NameI
Contractor License No.
Phone
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Mechanical
License No.
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Roo ing
License No.
Framing
No.
QLicense
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jPlumbing
License No.
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ADD AC
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 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.
Print name of owner/agent Signature Date