HomeMy WebLinkAbout555 E Saturn Dr - Permits/Water Heater - 04/21/2006Community Planning &Environmental Services
PERMIT
Building& Inspections Division BUILDING PERMIT
MIMI 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 F B0601793
$500.00
ACCOUNT
FEE
DATE PAID
SITE ADDRESS PERMIT DATE
JOB
PERMIT
555 ESATURN OR 04/21 200r:�
Building D2rnit w/o Subs
$15.
C 4/21/0
TYPE PERMIT LEVEL CATEGORY TYPE
WTRHTR Water Heater ISSU_FUL Residential
Last Name, First, Middle Initial Construction Type Occupancy Group
tL
Address City/State w
p No. of Stories Building Height
0
FORT COLLINS,CO o
Zip
80525 377-gg87 Phone No. Building Square Footage Stock Plan/Options
Front Setback
Rear Setback
!
(7
•
Z
Z
Right Side Setback Left
Side Setback
' • • •
2
'
Plat File No. ZBA Case Number
Subdivision/PUD
Zoning District
Filing
(See reverse side for Inspection Description)
FBF
J
a
wLot
Block Lot Area Parcel No.
2129089
Name Contractor License No. 1
ceCompany
Address City/State
Supervisor Cert. No.
OPhone
V
Electrical License No.
OMechanical
License No.
Roofing
License No.
H
OFraming
License No.
V
ca
Plumbing
License No.
N
It r• 1 IN
Concre a
License No.
HOT WATER HEATER (REPLACE) 50GAUGAS
I —
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.
name of owner/agent Signature Date
Print
TOTAL FEES
$15