HomeMy WebLinkAbout1126 W Elizabeth St - Permits/Water Heater - 02/10/20064ftCommunity Planning &Environmental Services BUILDING P E RM I T
Building & Inspections Division
P.O. Box 580 281 N. College Ave. Building Valuation
Fort Collins, CO 80522-0580
City of Fort Collins phone (970) 221-6760 Fax (970) 224-6134 B060062
ACCOUNT FEE BATE PAID`
JOB SITE ADDRESS PERMIT DATE
1126 WELIZABETHST 02 1C 2UU6 Building Permit w/o Sub $il. iO 2/10/0
PERMIT TYPE PERMIT LEVEL CATEGORY TYPE
WTRHTR Water Heater ISSU FUL Non Res Bldg Cons t
Last Name, First, Middle Initial Construction Type Occupancy Group
oe
w Address w
Z City/State p No. of Stories Building Height
RT LLINS
�
Zip
Phone No.
Building Squ"Footageock Plan/Options
80522
482-1999Front
Setback Rear
Setback0
Z
• •
Right Side Setback Left
Side Setback•
Z
2
Plat File No.
ZBA Case Number
Zoning District
(See reverse side for Inspection Description)
f i P
Subdivision/PLID
Filing
Q
J
Lot Block Lot Area
Parcel No.
9715117002
OCompany
Name
Contractor License No
Address
City/State
Phone
Supervisor Cert. No.
8
Electrical
License No.
OMechanical
License No.
Roofing
License No.
Framing
O
License No.
V
Plumbing
License No.
t�
Concrete
License No.
INSTALL (2) 50 GALLON WATER HEATERS FOR PIZZA PIPELINE AS PER
2003 IPC
1�
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
mmenced, sus ended, abando d or inspected within/'8-0wdays froip4la date of such ,p1rmilt or fro the date oft last inspection.
AA -
name
Date
TAL FEES � 17. 1