HomeMy WebLinkAbout636 Cheyenne Dr - Permits/Water Heater - 12/08/2006i�z, a��a� &C'////26
Neighborhood & Building 6ervices
281 N. College Ave. Fort Collins, CO 80521
Phone:970-221-6760 Fax:970-224-6134
t BUILDING PERMIT: B0605674
Cit%of Fort Collins Job site address: 636 CHEYENNE DR,14
Building Valuation: $175.00
Category: Residential
Owner: BROBST, DOUG
1625 INDEPENDENCE RD
FORT COLLINS. CO 0526
Zoning: Front setback:
Zoning district:
Legal: Subdivision/PUD:.
Issued Full
Permit type: Residential Water Heater
Phone: 222-4046
Rear setback: Right setback:
Plat File #: ZBA Case #:
Code: Res sq ft: Com sq ft:
# of stories: Occ Group:
Stock plan #:
Contractor: BERSHINSKY P & H
P.O. BOX 679
FORT COLLINS, CO 80522
Subcontractor(s)
12/08/2006
Left setback:
Minor Amend #:
Filing #: Lot #: Block #:
Ind sq ft:
Const Type: _
Stock plan options:
License #: MP-143
Basement sq ft:
Phone: 970-493-4355
Phone
INSTALLED OWNER PROVIDED WATER HEATER
Supervisor cert #:
**********To schedule inspections call 970-221-6769***********
Required inspections: FNP
TOTAL FEES PAID AS OF 12/08/06 $15.00 Payment method: Trust Account
License Number
Asa condition for the issuance of a permit, I hereby declare that I am the owner or owners agent, authorized to perform the proposed work on the property described herein.
I agree to comply with all the requirements contained herein, and 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 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.
Signature:
Fee Items Continued on Next Page
Fl-CO_13LDG_0500449
Print Name:
Date: