HomeMy WebLinkAbout642 Rocky Mountain Way - Permits/Water Heater - 04/06/2001Community Planning & Environmental ;services BUILDING PERMIT � Building & Inspections Division
P.O. Box 580 281 N. College Ave. Building valuation
Fort Collins, CO 80522-0580 $695 OU
litvy of Fart Collins
..�.� Phone (970) 221-6760 Fax (970) 224-6134 01582
ACCOUNT FEE. DATE PAID
JOB SITE ADDRESS 642 ROCKY MOUNTAIN WAY PERMIT DATE 04/06/2001 Building Permit it Subs $15.00 4/6/01
PERMITTYPE PERMIT LEVEL CATEGORY TYPE" -
WTRHTR Water Heater ISSU_FUL RESIDENTIAL
Last Npmg,, FJf,jyl dl� Irliti*RED N Construction Type Occupancy Group
Z pA11,jA2
city W
ROCKY MOUNTAIN WAY phone No./" l-ORT COLLINS, CO
O No. of Stories Building Height
895M-261 3 i U Building Square Footage p 1 Stock Plan/Options
Front Setback Rear Setback REQUIRED
,, INSPECTIONS "' •.
C9
_ Right Side Setback Left Side Setback CALL 221-6769
TO SCHEDULE INSPECTIONS
2 Plat File No. ZBA Case Number Zoning District (See reverse si a or Inspection DesCription)
Subdiv�sion/PUD FIIInc F N P
Q
�� Lot Block Lot Area O Parcel No. 8726220016
Company Name Contractor License No.
Address City/State `
4'- Phone Supervisor Cert. No.
Electrical License No. --"
rMechanical License No.
Q
d Roofing License No.
Z
UFraminq License No.
m
tn Plumbing License No.
ALLEN PLUMBING II HEATING MP-4
WATER HEATER REPLACEMENT
As a
described condition
herforin. I agree to comply w with all City ordinances, and State laws owner'or the owner's agent, authorized to perform the proposed work on the property
Ion for the issuance of a permit, t hereby declare that I am an owner
'or
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 =^ i
commenced, suspended, abandoned or not inspected within 180 days from the date of such permit or from the date of the last inspection.
Print name of owner/agent Signature Date 4„y