HomeMy WebLinkAbout812 CHETWOOD CT - PERMITS - 1/11/2005Community Planning &Environmental Services BUILDING PERMITPERMIT
FEES
Building & Inspections Division
P.O. Box 580 281 N. College Ave.
Building Valuation
Fort Collins, CO 80522-0580
, ��
cr11of Fort Collins phone (970) 221-6760 Fax (970) 224-6134 B 0 5 00111
ACCOUNT
1
1, PAID
JOB
SITE ADDRESS 812 C�IETWOODCT
PERMIT DATE
01 1 1 2005
Building, Remit w/o Subs
15.0
1/11J05
PERMIT
TYPE
PERMIT LEVEL
CATEGORY TYPE
GASLOG Gas Lmg - Gas Lighter
ISSU FUL
Residential
Last Name, First, Middle Initial
Construction Type
Occupancy Group
C
w
AMD
— ---
Address
City/State
p No. of Stories
Building Height
FORT GOWNS
Zip
Phone No.
Building Square Footage Stock Plan/Options
O
s2m
490-2106
Front Setback
Rear Setback
Z
Right Side Setback Left Side Setback
Z
2
Plat File No. ZBA Case Number Zoning District
(See reverse side for Inspection Description
G L L G
Subdivision/PUD
Filing
Lot
Block
Lot Area
Parcel No.
J
ix
Company Name
Contractor License No.
R
WFSTFRN FTRFPIACF SUPPLY
Address
a Mechanical
O
Roofing
Framing
0
U
m Plumbing
N
Concrete
18
License No.
License No.
License No.
License No.
INSTALL HEAT N GLO GAS FIREPLACE AND GAS UNE
As a condition for the issuance of a permit, 1 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, apando e�spected within 180 days from the date of such permit or from the date of the last inspection.
Print name of owner/agent Signature Date