HomeMy WebLinkAbout617 S WHITCOMB ST - PERMITS - 10/29/2004 (2)Community Planning & Environmental Services
Building & Inspections Division BUILDING PERMIT'
PERMIT
FEES
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 1 0 6 7 2
.� , 685.00
ACCOUNT
FEE
DATE PAID
JOB
SITE ADDRESS 617 S WHITCOMB ST
PERMIT DATE .) 0 2 `j `i 004
VV / V
Bu i idli Permit w o Subs
9 /
$15.00
11/5/04
PERMITTYPE
MECH Mechanical Alteration
PERMIT LEVEL ISSU_FUL
CATEGORY TYPE
Residential
-ask0, F6t,kyTIES
Construction Type
Occupancy Group
Z
3
Add e
Gab S COLLEGE AVE
City/Stat
�1" COLLINS, CO
p No. of Stories
Building Height
O
0
U
zip8524
Phone No. 419-8881
Building Square Footage Stock Plan/Options
Front Setback
Rear Setback
•
Z
Z
• •
Right Side Setback Left Side Setback
0
Plat File No. ZBA Case Number Zoning District
Subdivision/PUD Filing
, •
(See reverse side for Inspection Description)
C i F 8 M
J
wLot
Block Lot Area O Parcel No. 9714212021
Name Contractor License No.
OCompany
Address
City/State
F
OPhone
Supervisor Cert. No.
U
Electrical License No.
O
Mechanical
R I H HTC I A/C, ItdC
License No.
H 1831
Roofing
License No.
Z
Framing
License No.
U
Z)
Plumbing
License No.
N
Concrete
License No.
REPLACE FURNACE
v
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, ab cloned 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
$15.