HomeMy WebLinkAbout713 Rocky Mountain Way - Permits/Water Heater - 09/26/2006Community Planning & Environmental Services
Building & Inspections Division
P.O. Box 580 281 N. College Ave.
Fort Collins, CO 80522-0580
CityCityofF� phone (970) 221-6760 Fax (970) 224-6134
JOB SITE ADDRESS
PERMIT TYPE PER
MERHTR Water Heater
Last Name, First, Middle Initial
w Address
Z CitylS ate
FORT COI I INS
O Zio I Ply— ni,.
(D
Z
Z
O
N
ZBA Case
District
BUILDING PERMIT
1: Building Valuation
B0604550 ACCOUNT
PERMIT DATE
9n Building Permit w/o
.EVEL CATEGORY TYPE
I
Construction Type Occupancy Group
p No. of Stories Building Height
Building Square Footage Stock Plan/Options
a
wLot Block Lot Area Parcel No.
J
7n n no
Company Name I Contractor License No.
Electrical
W Mechanical
Roofing
H
Z Framing
0
m Plumbing
REPLACE WATER HEATER
License No.
License No.
License No.
License No.
License No.
License No.
(See reverse side for Inspection Description)
FNP
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 inspected within 180 days from the date of such permit or from the date of the last inspection.
FEE
DATE PAID
$15. 0 9/26/0
Print name of owner/agent Signature Date TOTAL FEES