HomeMy WebLinkAbout6315 GOLDEN WILLOW DR - PERMITS - 6/20/2005Community Planning &Environmental Services
FEES
Building & Inspections Division BUILDING P E RM I TPERMIT
P.O. Box 580 281 N. College Ave.
Building Valuation
Fort Collins, CO 80522-0580
City of Fort Collins .�
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phone (970) 221-6760 Fax (970) 224-6134 �
ACCOUNT
FEE
DATE PAID
JOB
SITE ADDRESS 6315 GOLDEN WILLOW DR
PERMITDATE I i>uJ:
Building Permit �/o Subs
City Sales/Use Tax
c I u ?
vounty Sales/lse Tax
�15.0
$19.1
$5.1
6/20/C5
6/20/05
/ r /
6 05
PERMIT
TYPE MECH Mechanical Alteration
PERMIT LEVEL ISSU_FUL
CATEGORY TYPE Residential
0C
Last D�arnp„Girst,Mi�ldl 0itial
LttVU r1CtS�
Construction Type
Occupancy Group
AddrM15 GOLDEN WILLOW DR City/SLU
O� tate FORT COLLINS. CO
No. of Stories
O
Building Height
>�
U
Zi p 8�528
Phone 282-8340
Building Square Footage,
U
Stock Plan/Options
Front Setback
Rear Setback
ack
!� •
Z_
Z
Right Side Setback Left Side Setback
• •
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Plat File No.
ZBA Case Number Zoning District 177
(See reverse side for Inspection Description)
Subdivision/PUD Filing
C L f N M
J
Q
w
Lot
177 Block Lot Area Q Parcel No. 8 6 u 7 4 9 1 i 7
Name Contractor License No.
OCompany
Address
City/State
F—
OPhone
Supervisor Cert. No.
U
Electsjr�h 7 I C C T I T, C n C l n T n i r, License No. _
iUi, hL i u.�1i� �_ usni M.
CleMechaq
p
qal n, 0 n, i C r C
to r, U. iv
License No. t
H Ii o
Roofing
License No.
Framing
License No.
jPlumbing
License No.
to
Concrete
License No.
8
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.
name of owner/agent Signature Date
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TOTAL FEES