HomeMy WebLinkAbout4412 Seneca St - Permits/Water Heater - 03/23/2001Community Planning & Environmental Services BUILDING PERMIT
PERMIT FEES
Building & Inspections Division
P.O. Box 580 281 N. College Ave.
Building Valuation
Fort Collins, CO 80522-0580
$1 074 00
CityCityofF� phone (970) 221-6760 Fax (970) 224-6134 B0101335
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A!�
FEE
DATE PAN E
JOB
.SITE ADDRESS 4412 SENECAST
PERMIT DATE 03/23/2001
Building Permit w/o Subs
$30.00
3/23/01
PERMIT
TYRE WTRHTR Water Heater
PERMIT LEVEL ISSU_FUL
CATEGORY TYPE RESIDENTIAL
Last Name, First, Middle Initial
Construction Type
Occupancy Group
ce
M CLURG, JACK VAL
Z
Address
4412 SENECA ST
City /State
FORT COLLINS, CID
p No. of S[ones
o
Building Height
Zip Phone
8g526-3429
No.
Building Square Footage Stock Plan/Options
0
Front Setback Rear
Setback
•
•'
Z_
Right Side Setback Left Side Setback
Z
2
• � •
Plat File No. ZBA Case Number Zoning District
(See reverse side or Inspection Description)
Subdivision/PUD Filing
F N P
Q
w
J
..
Lot Block Lot Area p Parcel No. 9734411015
Name Contractor License No.
oeCompany
Address
City/State
1—
Z
Phone' SupBNiSOr Cert. NO.
U
Electrical License No.
ad
GMechanical
License No.
Roofing
License No.
Z
QFraming
License No.
m
Plumbing
License No.
vu))
ADVANCED PLUMBING I HTG
MP-245
REPLACE 2 40 GALLONE WATER HEATERS.
As
a condition for the issuance of a permit, I hereby declare that I am an owner or the owner's agent, authorized to perform the proposed work on the property
described
herein. I agree to comply with all City ordinances, and State laws associated with such work. I understand that such permit may be revoked in the
event
that issuance was based on incorrect or incomplete information. This permit shall become null and void if the work authorized by such permit is not
commenced,
suspended, abandoned or not inspected within 180 days from the date of such permit or from the date of the last inspection.
name of owner/agent Signature Date
TOTAL$
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