HomeMy WebLinkAbout1121 Indian Summer Ct - Permits/Water Heater - 01/28/2000I
.,m Community Planning& Environmental Services BUILDING PERMIT'
PERMIT
FEES
Building & Inspections Division
P.O. Box 580 281 N. College Ave.
aNndmgvawaton $378,00
Fort Collins, CO 80522-0580 B0010411
o'w•cF.��
Phone (970) 221-6760 Fax (970) 224-6134
ACCOUNT
FEE
DATE PAID
JOB
SITE ADDRESS 1121 INDIAN SUMMER CT FTCD
PERMIT DATEUU112amm
hAdnq P• rrA WOISilb•
$1S,00
1!2
PERMIT
TYPE
PERMIT LEVEL
CATEGORY TYPE
WTRHTR Water Heater
Ssu_FUL
RESIDENTIAL
Last Name, First, Middle Initial
Construction Type
Occupancy Group
MORRIS, JAMES UMARALEE
W
Z
Address tt21 INDWV SUMMER CT
City 1'06RT COLLINS, CO
o No. or sto ies
0
Building Height
Zip W525-1250 Phone
No.
Building Square Footage O
Stock PlanlOptlans
!]
Front Setback Rear
Setback
•
V,
I
Z
Right Side Setback Left Side Setback
Z
• •
Plat File No. ZBA Case Number Zoning District
(See reverse side for Inspection Description)
subdivisbNPUD Filing
FNP
Block Lot Area anoe
wLot
Name Connector License No,
OCompany
Address
CaylState
F
Phone Supervisor Cert. No.
U
Elecbical License No.
Cc
Mechanical
License No,
Roolirg
License No.
F2'
Framing
License No.
m
PXr N PLUMBING & HEATING
License No. MP-4
WATER HEATER REPLACEMENT
w
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 o wn-gent gnature Date
TOTAL FEES
�t