HomeMy WebLinkAbout925 COLUMBIA RD - PERMITS - 1/12/2005Community Planning & Environmental Services
Building & Inspections Division
�i P.O. Box 580 281 N. College Ave.
Fort Collins, CO 80522-0580
City of Fort Collins phone (970) 221-6760 Fax (970) 224-6134
925 ml I IMBIA RD 726
JOB SIT&DRE55er Heater
PERMITTYPE I PERMIT LEVEL
_Z Right Side Setback
Z
Plat File No. ZBA Case Number
Subdivision/PUD
J
Q
w I Lot Block Lot Area
J
W I Company Name
Phone
Mechanical
0
H
Roofing
F
Z Framing
0
V
Plu
N
X
uj
H
Phone No.
Rear Setback
Left Side Setback
Filing
Contractor License No.
City/State
License No.
License No.
License No.
License No.
License No.
License No.
UILDING PERMIT
B050014 Building Valuation
CATEGORY TYPE
Construction Type Occupancy Grc
�p No. of Stories Building Height
OBuilding Square Foota I Stock Plan/Options
(SW reverse side for Inspection Description)
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 180 days from the date of such permit or from the date of the last inspection.
� r ■
Print name of owner/agent Signature Date
TOTAL FEES