HomeMy WebLinkAbout1636 Collindale Dr - Permits/Water Heater - 11/13/2000Community Planning &Environmental Services BUILDING PERMIT
PERMIT FEES
Building & Inspections Division
P.O. Box 580 281 N. College Ave.
Building Valuation $165.00
Fort Collins, CO 80522-0580 B0016892
Phone (970) 221-6760 Fax (970) 224-6134
ACCOUNT
FEE
DATE PAID
JOB
SITE ADDRESS 189E COLUNDALEDR Fr=
PERMITDATE 11/iall2o 0
s
$15.00
1/1 3ill
PERMIT
TYPE Wi Water Heater
PERMIT LEVEL I=—RX
CATEGORY TYPE RESIDENTA
Last Name, First, Middle Initial er DEKWE
Construction Type
Occupancy Group
Y
Z
�
Address
163E COUADIALE DR
City / State FORT COLLINSr
wp No. of Stories
0
V
Building Height
O
Zip 76 Phone
No. �3�M
Building Square Foot
V
Stock Plan/CIns
Front Setback Rear
Setback
REQUIRED•
Z_
CALL 221-6769
Right Side Setback Left Side Setback
Z
TO SCHEDULE INSPECTIONS
Plat File No. ZBA Case Number Zoning District
(See reverse side for Inspection Description)
Subdivision/PUD Filing
FW
J
wQ
J
y�,
Lot Block Lot Area 0 Parcel No.S73041 �7
Name Contractor License No.
OCompany
V
Q
Address
City/State
IX
Z
0
Phone Supervisor Cert. No.
V
Electrical License No.
aY
0
Mechanical
License No.
Roofing
License No.
Z
0
Framing
License No.
m
PlumbirygA PLuM11131111i
License No. MP 341
N
REPLACE WATER HEATER
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 FEES
�i1SOQ
Print