HomeMy WebLinkAbout608 KEENESBURG CT - PERMITS - 10/22/2004Community Planning & Environmental Services
Building & Inspections Division ERMIT
U 1 LD 1 N G P
PERMIT FEES
P.O. Box 580 281 N. College Ave.
Building Valuation
Fort Collins, CO 80522-0580
Cityof Fart Ctyllins
Phone (970) 221-6760 Fax (970) 224-6134
60406583
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JOB SITE ADDRESS
PERMIT DATE
w8 KEENESBURG CT
PERMIT TYPE
1n 22/2004
Building Permit w/o Subs
$30 0
10/22/04
MECH Mechanical Alteration
Last Name, First, Middle Initial
PERMIT LEVEL
ISSU_FUL
CATEGORY TYPE
Residential
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Construction Type
Occupancy Group
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3
Address
HORN
City/State
W
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County Sales/Use Tax
$4 8
10/22/04
No. of Stories
Building Height
V
zip
HOLBROOK NY 11741
0
V
8U5`25
Phone No.
631-921-2564
Building Square Footage Stock Plan/Options
Front Setback
Rear Setback
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Right Side Setback Left
Side Setback
N
Plat File No.
ZBA Case Number
Zoning District
142
S
(ee r everse side for Inspection Description)
Subdivision/PLID
FilingCLY
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wLot
142
Block
Lot Area
0
Parcel No.
9614318142.E
CompanyName
Contractor License No.
C
Address
City/State
Phone
Supervisor Cert. No.,'
Electrical
License No.
W
Mechanical
License No.
CRoofing
License No.
Framing
License No.
Plumbing
License
th
No.
Concrete
License No..,
INSTALLED NEW AIR OONDTT TONER (INSTALLED PRIOR TO PERMIT BY ADAM MORTON (UNLICENSED)
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DOUBLE FEE FOR WORK PRIOR TO PERMIT
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 days from the date of such permit or from the date of the last inspection.
Print name of owner/agent Signature Date.