HomeMy WebLinkAbout6315 GOLDEN WILLOW DR - PERMITS - 6/20/2005 (2)Community Planning &Environmental Services BUILDING PERMITPERMIT
FEES
Building & Inspections Division
P.O. Box 580 281 N. College Ave.
Building valuation
Fort Collins, CO 80522-0580
1 275.00
City of Fort Collins phone (970) 221-6760 Fax (970) 224-6134 B0501916
ACCOUNT
FEE
DATE PAID
JOB
SITE ADDRESS 6315 GOLDEN WILLOW DR
PERMIT DATE 06/ 0/2001a
Building Pertlit to/o Subs
City Sales/Use Tax
County Sales/Use Tax
$15.00
$19.13
$5,10
6/20/05
6/20/05
6/20/05
PERMIT
TYPE
MECH Mechanical Alteration
PERMIT LEVEL
ISSU_FUL
CATEGORY TYPE
Residential
Last Name, First, Middle Initial
ZHOU HERY
Construction Type
Occupancy Group
Z
Address
City/State
W
p No. of Stories
Building Height
3
6315 GOLDEN WILLOW DR
FORT COLLINS, CO
0
V
Zip
Phone No.
Building Square Footage Stock Plan/Options
O
80528
282-8340
Front Setback
Rear Setback
• • •
_Z
Right Side Setback
Left Side Setback
Z
2
(See reverse side for Inspection Description)
Plat File No.
ZBA Case Number
Zoning District
u L F N M
Subdivision/PUD
Filing
_
6 Q
Lot
Block
Lot Area
Parcel No.
177
I
0
8607431177
OCompany
Name
Contractor License No.
Address
City/State
H
Electrical
License No.
;nnTHL W E c I I F n F 1 E C, Tnrn
Mechanical
License No.
Cn
nnnrrre
H
Roofing
License No.
License No.
OFraming
m
Plumbing
License No.
N
Concrete
License No.
INSTALL AC
I�7<
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
Signature
Date
TOTAL FEES 1 $39.23