HomeMy WebLinkAbout4240 SOUTHSHORE CT - PERMITS - 7/12/2005Community Planning & Environmental Services
Building & Inspections Division
BUILDING P E RM I T
, MIT FEES
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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
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JOB SITE ADDRESS424o
PERMIT DATE
ACCOUNT `' FEE DATE PAID
PERMIT TYPE
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QUTHSHORE CT PERMIT LEVEL CATEGORY TYPE
Building Permit w/o Subs $15.00 7/12/05
Mechanical Alteration
Last Name, First, Middle Initial
Iss FUL Residential
HRAM
Construction Type Occupancy Group
ZANF
3 Address
City/State
w
in No. of Stories Building Height
Zip 80525
FORT COLLIN's. CO
Phone No.
0
V Building Square Footage Stock Plan/Options
22�-.3�7
Front Setback
Rear Setback
Ci'
•
•
_Z Right Side Setback
Z
Left Side Setback
• •
Plat File No.
ZBA Case Number Zoning District
, •
• •
(See reverse side for Inspection Description)
Q SubdivisioNPUD
Filing
uL f HM
WLot
Block Lot Area Parcel No.
0' Company Name
Contractor Licensee No.
GAddress
City/State
0
Phone
Supervisor C,ert. No.
V
Electrical
License No.
O Mechanical
License No.
G
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Roo ing
License No.
F
Z Framing
License No.
V
Plumbing
License No.
Concrete
License No.
REPLACE FURNACE
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.
Print name of owner/agent
-:iIgnature
Date
FEES ' $1