HomeMy WebLinkAbout1108 Green St - Permits/Water Heater - 12/20/2000Planning Environmental Services B U I L D I N G PERMIT
Building &Inspections Division
iftCommunity
P.O. Box 580 281 N. College Ave.;
Building valuation
Fort Collins, CO 80522-0580
$ 5 8 7. 00
City of Fort Collins
Phone (970) 221-6760 Fax (970) 224-6134 B QQ 1 % J B 3
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ACCOUNT
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CX E:IM- I
JOB
SITE ADDRESS 1108 GREEN ST
PERMIT DATE 12/20/p2000
Building Permit w/o Subs
$15.00
12/20/00
PERMIT
TYPE WTRHTR Water Heater
PERMIT LEVEL
ISSU_FUL
CATEGORY TYPE RESIDENTIAL
Last Name, First, Middle Initial
BUZAS, ELI E/CHRISTINE B
Construction Type
Occupancy Group
Z
3
_
Address
1108 GREEN ST
City / State
FORT COLLINS, CO
p No. of Stories
0
V
Building Height
Zip Phone
80524
No.
Building Square Footage
Stock Plerdoptions
0
Front Setback Rear
Setback
millREQUIRED INSPECTIONS
Z_
Right Side Setback Left
Side Setback
CALL
Z
,
TO SCHEDULE•NS
Plat File No. BA Case Number
'Zoning Distric
(see reverse si a or Inspection Description)
Subdivision/PUD
'Filing
F N P
'
Q
wLot
Block i Lot Area 'Parcel No.
0 9713408216
Name Contractor License No.
OCompany
V
Address
City/State
r
Z
Phone Supervisor Can. No.
V
Electrical License No.
0
Mechanical
License No.
Rooting
License No.
0
Framing
License No.
on
Plumbing
License No. '
h
FIVE STAR PLUMBING
MP-148
REPLACE WATER HEATER
As
a condl ion 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!.-.
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