HomeMy WebLinkAbout630 Brewer Dr - Permits/Gas - Log, Line, Pipe - 12/04/2000Planning Environmental ServicesPERMIT
BUILDING P E RM I T
FEES
Building & Inspections Division
dhCommunity
P.O. Box 580 281 N. College Ave.
Building valuation
Fort Collins, CO 2-050
2 7 7 0 0
Phone (970) 221-6 60 Fax (970) 224-61;34 B00 3 1
$ r
ACCOUNT
FEE
DATE PAID:
JOB
SITE ADDRESS 630 BREWER DR
PERMIT DATE 12/04/2000
Building Perait w/o Subs
$15.00
12/4/00
,
PERMIT
TYPE GASLOG Gas Log — Gas L i ght.er
PERMIT LEVEL ISSO._FUL
CATEGORY TYPE RESIDENTIAL
Last Name, First, Middle Initial
EASOII, BEORGE ANTHONY
Construction Type
Occupancy Group
W.
Address
630 BREWER DR
city / St a
?ORT COLLINS, CO
No. of Stories
Building Height
Z
o
3
O
V
Zip 80524 Phone
No. 407-7269
Building Square Footage 0
Stock Plan/Options
1
Front Setback Rear Setback
REQUIRED'
Z
Right Side Setback Left Side Setback
Z
TO SCHEDULE INSPECTIONS
Plat File No. ZBA Case Number Zoning District
(See reverse si a or Inspection Description)
Subdivision/PLID Filing
GL LG
Q
w
'
Lot Block Lot Area Parcel N}ti.
0 9701132031
Co71T P ICE WEST II, INC Contractor License To-13H1
Addy4 N COLLEGE AVE
Doti COLLINS, CO 80524
Zo
PhoT10-498-9679 Supervisor Cert. No.
Electrical License No.
04
OMechanical
License No.
Roofing
License No.
Z
0
Framing
License No.
on
Plumbing
License No.
v=i
INSTALL GAS FIREPLACE, GASLINE AND STOVE
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. 1 agree to comply with all City ordinances, and State laws associated with such work. I understand that such permit may be revoked in the
a
event
ll become null and void the work authorized by such permit is not
that issuance was based on Incorrect or incomplete information. This permit shall
a
+ .,>
commenced,
suspended, abandoned or not inspected within 180 days from the date of such permit or from the date of the last inspection.
J
,
*i ':
.. 8
of own ��/ —Signature e`�'�r`"`oy�� 1, Date
n7ame