HomeMy WebLinkAbout1500 Edora Rd - Permits/Water Heater - 12/15/1999Community Planning & Environmental Services BUILDING PERMIT
PERMIT
FEES
Building & Inspections Division
P.O. Box 580 281 N, College Ave.
BuudmgvalNaeon
$958.10
Fort Collins, CO 80522-0580 B9908016Phone (970) 221-6760 Fax (970) 224-6134 V-w
ACCOUNT
FEE
DATE PAID
JOB
SITE ADDRESS
PERMIT IZ40 99
_BrAc*VPermd.W015ubs_
—575,00_._
12l150989_
PERMITTYPE
PERMIT LEVEL I
CATEGORY TYPE
Last Name, First, Middle Inifial
Construction Type
Occupancy Group
ce
LJ
Z
Atltlress •
Ciry /State
on No. of Stories
Building Heigh
a
Zip Phone
No.
Building Square Footage
Stock PlardOptions
Front Setback Rear
Setback
REQUIRED INSPECTIONS
(�
Z
CALL 221-6769
Right Side Setback Len
Side Setback
Z
TO SCHEDULE INSPECTIONS
Q
(See reverse si a or Inspection Description)
FNP SPI
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Plat File No. Z8A Case Number
Subd+visioMPUO
Zoning District
Filing
--
— --
Lot Block Lot Area Parcel No.
0 8710106010
Name Contractor License No.
—
w
—
OCompany
Address
Ciry/Stale
'
a
Phone Supervisor Cert. No.
V
Electrical License Nc.
GMec
— - — _-^�-
-- —
� PLUMBING B HEATING
Licence No.
Roofing
License No.----—---
Z
0
Framing
License No.
v,
----- —
—
- —
Plumbing
License No.
REPLACE WATER HEATER
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P-
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 not inspected within ISO days from the date of such permit or from the date of the last inspection.
$15.00
TOTAL FEES
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Print
name of owner/agent ignature Date
4