HomeMy WebLinkAbout1422 WILDWOOD RD - PERMITS - 8/18/2004Community Planning &Environmental Services BUILDING PERMIT
Building & Inspections Division
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 B 0 4 0 5 2 3 6
ACCOUNT
FEE
DATE PAID
JOB
SITE ADDRESS 1422 WILDWOODRD
PERMIT DATE
08 1S 2004
Building Permit w/o Subs
;15.00
8/18J04
PERMIT
TYPE
PERMIT LEVEL
CATEGORY TYPE
MECH Mechanical Alteration
ISSU FUL
Residential
Last Name, First, Middle Initial
Construction Type
Occupancy Group
Z
Address
City/State
Wp No. of Stories
Building Height
3
0
O
Zip
Phone No.
Building Sq"ageck Plan/Options
495-9847
Front Setback
Rear Setback
�
Z
Right Side Setback
Left Side Setback
Z
•
Plat File No. ZBA Case Number
Subdivision/PUD
Zoning District
Filing
(See reverse side for Inspection Description)
CL FNM
_
Q
wLot
Block Lot Area Parcel No.
J
U
Name Contractor License No.
OCompany
Address City/State
Z
Phone Supervisor Cert. No.
v
Electrical License No.
W
I E N ME
Mec apical
License No.
Roo mg
License No.
Z
Framing
License No.
mPlumbing
License No.
Concrete
License No.
INSTALL HEAT PUMP WITH AIR HANDLER
I —
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 u derstand that such permit may be revoked in the
'
event
that suance was based on incorrect or incomplete information. This permit shall become nu and aid if the work authorized by such permit is not
commen
d, s spendedd andoned or inspected within 180 days from 0 date of such permit o ro he date of the last inspecto /
name of own r/agent Signature Date
TOTAL FEES
$15 t10
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