HomeMy WebLinkAbout2804 W Elizabeth St - Permits/Water Heater - 04/13/2000Community Planning & Environmental Services BUILDING PERMIT
PERMIT FEES
Building & Inspections Division
P.O. Box 580 281 N. College Ave.
Building Valuation $600.00
Fort Collins, CO 80522-0580 B0011937
city of FoRColdna Phone (970) 221-6760 Fax (970) 224-6134
ACCOUNT
FEE
DATE PAID
JOB
SITE ADDRESS 2804 W EUZAE EfH ST FTCO
PERMIT DATFW1312000
Buildina P•rmil MiSrbs
$15.00
13/4000
Cltlir$aleW99Tax
$7.50
4/i3/20M
PERMITTVPE
WTAHTR Water Heater
PERMIT LEVE4SSV I:tJL
CATEGORY TYPE RESIDENTIAL
cw* Salesius• Tax
$2.00
W132=
Last Name, First, Middle Initial
Construction Type
Occupancy Group
HARIRI, YAWAIROSE ANNE
w
Address 1431 N COIAfRY RD 3
City / S ibVELAPm, CO
p No. of Stories
p
V
Building Height
0
Zip 80538 Plftoreft2w
Building SquareFootage a
Stack PlarvOptions
Front Setback Rear
Setback
! 1 •
Z_
Right Side Setback Left
Side Setback
Z
• 1 •
OH
(See reverse side or Inspection Description)
Plat File No. ZBACase Number
Zoning District
SubdivisioNPUD
Filing
F�
Q
wLot
Block Lot Area Parce
Name Contractor License No.
OCompany
eAddress
City/State
OPhone
Supervisor Cert. No.
V
Electrical License No.
4'
GMechanical
License No.
Roofing
License No.
0
Framing
License No.
m
Plumbing
License No.
h
WATER HEATER REPLACEMENT
Asa
Cbndition 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 not inspected within 180 days from the date of such permit or from the date of the last inspection.
name of owner/agent Signature Date
TOTAL FEES
$24.50
Print