HomeMy WebLinkAbout4501 Boardwalk Dr - Permits/Water Heater - 11/09/2000 (2)Community Planning & Environmental Services BUILDING PERMITPERMIT FEES
Building & Inspections Division
P.O. Box 580 281 N. College Ave. Building valuation $662.00
Fort Collins, CO 80522-0580 80016729
ctrrofF Phone (970) 221-6760 Fax (970) 224-6134
ACCOUNT FEE DATE PAID
JOB SITEADDRESS 4501 BOARDWAIAoa#R»y FTCO PERMIT DATE 11/0Q,M %A&gPWffAWQ-4N $15.00 1/09/2 oo
PERMIT TYPE WrWTR Water Heider PERMIT LEVEL WU Rk CATEGORY TYPE RE ,�NTIll
Last Name, First, Middle Initial_ ASSOCIATES Construction Type Occupancy Group
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Mechanical
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Roofing
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License No.
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As a condition for the jssuance 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.
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PrintPrint name oT owner/agent Signature Date