HomeMy WebLinkAbout2000 Orchard Pl - Permits/Water Heater - 08/31/2006Community Planning & Environmental Services BUILDING PERMITPERMIT
FEES
�'� x Building & Inspections Division
P.O. Box 580 281 N. College Ave.
Building valuation
Fort Collins, CO 80522-0580
csiv oc F� n o Phone (970) 221-6760 Fax (970) 224-6134 '� 7
B06041
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ACCOUNT
FEE
DATE PAID
JOB
SITE ADDRESS
PERMIT DATE
2000 ORCHARD
Building PerAit w/o Sub
$15.
0 8/31/0
PERMIT
TYPE
PERMIT LEVEL
CATEGORY TYPE
Heater
Last Name, First, addle n, ial
ConTWater
uction Type
Occupancy Group
Chit
Z
Addres ANNE
City/State
wp No. of Stories
Building Height
CA
0
O
_
Zip Phone
No.
Building Square Footage
Stock Plan/Options
Front et ac Rear
Setback
REQUIRED•
Z
Right Side Setback Left
Side Setback
CALL 221-6769
Z
TO SCHEDULE INSPECTIONS
(See reverse side for Inspection Description)
FNP
Plat File No.
zBA Case Number
zoning District
_
Subdivision/PUD
Filing
Q
wLot
Block
Lot Area
Parcel No.
J
OCompany
Name Contractor
License o.
Address City/State
Z
Phone
Supervisor Cert. No.
V
Electrical
License No.
W
Mechanical
License No.
0
_
Roofing
License No.
Z
Framing
License No.
O
V
o°
Plumbing
License No.
to
Concr Llil PtUl"18flilt & HEANH
I License No. III P Y
INSTALL WATER HEATER
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 incorre t or incomplete information. This permit shall become null and void if the work authorized by such permit is not
commenced, sugpended, abandoned qy pected within 180 days from the date of such permit or from the date of the last inspection.
Print name of
Date
TOTAL FEES