HomeMy WebLinkAbout812 Rocky Mountain Way - Permits/Water Heater - 12/28/2000Community Planning &Environmental Services g U I L D I NIQ PERMIT
PERMIT FEES
Building & Inspections Division
P.O. Box 580 281 N. College Ave. —
Fort Collins, CO 80522-0580
Citvof Fort Collins Phone (970) 221-6760 Fax (970) 224-6134 B UU 1 7 6 7 5
Building Valuation
$ 5 7 5. 00
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JOB
SITE ADDRESS 812 ROCKY MOUNTAIN WAY
PERMITDATE 12/28/2000
Building Penit w/o Subs
$15.0
12/28/00
PERMITTYPE
WTRHTR Water Heater
PERMIT LEVEL
ISSU FUL
CATEGORY TYPE
RESIDENTIAL
Last Name, First, Middle Initial
Construction Type
Occupancy Group
w
Z
111H , ROBERT H
_
Address
City State
w
p No. of Stories
Building Height
3
Y
FORT COLLINS CO
V
--
Zip Phone
No.
Building Square Footage Stock Plan/Options
80526-2623
226-6458
-
Front Setback Rear
Setback
•
,'
Z_
94a
Right Side Setback Left Side Setback
Z
• s 101 M1 •
Plat File No. ZBA Case Number Zoning District
Subdivision/PUD Filing
(See reverse side for Inspection Description)
FNP
J
c9
w
Lot Block Lot Area Parcel No.
0 9726218005
Name Contractor License No.
OCompany
Address
City/State
OPhone
Supervisor Can. No.
V
Electrical License No.
--
Vd
Mechanical
License No.
aO
Rooting
License No.
QFraming
License No.
m
Lo
Plumbing
Alli SERVICES, INC
License No.
MP-315
REPLACE WATER HEATER
r
As
a condition for the issuance of a permit, I hereby declare that I am an owner or the owner's agent, authorized to perform the proposed work on the property
described
herein. I agree to comply with all City ordinances, and State laws associated with such work. I understand that such permit may be revoked in the
event
me nu I and v ' if the work authorized by such permit is not
that issuance was based on incorrect or incomplete information. This permit shalVuc
commenced,
suspended, abando eti or not inspected within 180 days from the da permi or Tro a date of the last inspection.
name of owner/agent Signature Date
1QTAL )?EE$ -
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