HomeMy WebLinkAbout4210 Breakwater Ct - Permits/Water Heater - 06/25/2001Community Planning & Environmental Services
Building & Inspections Division
P.O. Box 580 281 N. College Ave.
Fort Collins, CO 80522-0580
c;trofF Phone (970) 221-6760 Fax (970) 224-6134
JOB SITE ADDRESS 4210 BREAKWATER CT
PERMIT TYPE WTRHTR Water Heater
Last Nfibb 1 IA LD MONTE
Z Addres4210 BREAKWATER CT City / State FORT COLLI
3
O zip 80525-1674 Phone No. 223-3428
Front Setback Rear Setback
Z Right Side Setback Lett Side Setback
Z
NPlat File No. ZBA Case Number zoning District
Subdivision/PUD Filing
J
Q
wLot Block Lot Area Parcel No. Q J
License No.
PLUMBING I HEATING
MP-15
BUILDING PERMIT
Building Valuation
B0103814
ACCOUNT
PERMIT DATE 06/25/200 1 Building Peril w/o Subs
rrnmii LevtL ISSU FUL -`...
Construction Type
w
NS CO inNo. of Stories 0
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V
Building Square Footage
s';san11
aee reverse
FNP
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 come null and void if the work authorized by such permit is not
commenced, suspended, abandoned or not inspected within 180 days from the date ot's h permit or from the date of the last inspection.
Print name of owner/agent Sighature Da e
C'
TOTAL FEES
i
$210.00
FEE DATE PAID
$15.0 6/25/0