HomeMy WebLinkAbout4501 Boardwalk Dr - Permits/Water Heater - 02/13/2001 (2)Planning & Environmental Services BUILDING PERMITPERMIT
FEES
Building & Inspections Division
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P.O. Box 580 281 N. College Ave.
Building valuation
Fort Collins, CO 80522-0580
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phone (970) 221-6760 Fax (970) 224-6134 Bolaasso
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SITE ADDRESS
PERMIT DATE
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Building Penit who Subs
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2/13/01
PERMITTYPE
PERMIT LEVEL
CATEGORY TYPE
WTRHTR Water Heater
ISSU FUL
RESIDENTIAL
Last Name, First, Middle Initial
Construction Type
Occupancy Group
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Address
City / State
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p No. of Stories
Building Height
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Zip Phone
No.
Building Square Footage
Stock Plan/Options
Front Setback Rear
Setback
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Right Side Setback Left
Side Setback
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Plat File No. ZBA Case Number
Subdivision/PUD
Zoning District
Filing
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(See reverse side for Inspection Description)
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Lot Black Lot Area Parcel No.
Name Contractor License No.
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Address city/State
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Phone Supervisor Cent. No.
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Electrical License No.
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License No.
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Roofing
License No.
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License No.
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License No.
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REPLACED 40 GALLON ELECTRIC WATER HEATER.
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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
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commenced,
suspended, abandoned or not inspected within 180 days from the date of such permit or from the date of the last inspection.
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a of own�el/ag nt Signature Date
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