HomeMy WebLinkAbout813 W Mountain Ave - Permits - 06/19/1992sills
DEVELOPMENT SERVICES/BUILDING PERMITS & INSPECTIONS DIVISION
P.O. BOX 580, FORT COLLINS, CO 80522-0580
221-6-769
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�1 JOB SITE ADDRESS A13 W MOUNTAIN AVE
H Permit Type N.brk Type - Category Type
WATER HEATER NEW SINGLE FAMILY DETACHED
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Proposed Use
Use Zone
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RESIDENTIAL
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Filing
Subdivision PUD
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subdivaicri
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cd
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Lot
Black
Parcel No.
Last
First
M.I.
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BJORNSEN
MARY ANN
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Address
City
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5216 COUNTY RD 3F
FORT COLLINS
State
zp
Phone
CD
80525
484-8897
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Company Name
Contractor License No.
ALLEN PLUMBING 6 HEATING
MP-4
city
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Mai
101 S. LINE: LN.
FT CULLINS
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Zip -
Phone
Sales Tax No.
80524
484-4841
10010
Construction Type
P
Occupancy Group
Fire Sprinkler
Building Square Footage -
No. of Stories
Bldg. Height
Occupant Load Occupancy Separation
Area Separat
QQ3�
LL
No. of Dwelling Units No. or Bedrooms No. of Bathrooms Fireplace/Stoves
Basement
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Text:
WATER HEATER REPLACEMENT
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to
to
ZBA Case No. BBA Case No.
Permit No. Permit Date
0921595 �/I JUNE 19 1992
As a condition for the issuance of a permit, 1 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 the requirements contained herein,
and 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
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.
Signature Date
ORIGINAL - FILE, BLUE - OFFICE, CANARY - SALESTAX. PINK - APPLICANT. TAG - FIELD CARD
Permit Level
SITE SETBACKS
REAR
LEFT RIGHT
FRONT
BLDG PERMIT FLAT I 15.U0 I
Lot Area
Containment
'.k Plan Options
File No.
Off St. Parking
REQUIRED•
CALL 221-6769
TO SCHEDULE INSPECTIONS
(See reverse side for
Inspection Description)
FNP
Electrical
Mechanical
Plumbing