HomeMy WebLinkAbout913 Grouse Cir - Permits/Water Heater - 04/21/2006Community Planning &Environmental Services BUILDING PERMITPERMIT
FEES
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 B0601792
07.00
ACCOUNT
FEE
DATE PAID
JOB
SITE ADDRESS
PERMIT DATE
913 GROUSE CIR
04; 2 1 /2006
Building Permit, w/o Subs
g15.
0 4/21/0
PERMIT
TYPE
WTRHTR Water Heater
PERMIT LEVEL
ISSU_FUL
CATEGORY TYPE
Residenti
Last Name, First, Middle Initial
Construction Type
Occupancy Group
ce
WILU AL S L
Z
Address
City/State
w
p No. of Stories
Building Height
3
913 GROUSE CIR
FORT COLLINS, CO
0
0
Zip Phone
No.
Building Square Footage Stock Plan/Options
80524
419-1161
Front Setback Rear
Setback
Z
Right Side Setback Left
Side Setback
• • •
Z
Plat File No.
ZBA Case Number
Zoning District
(See reverse side for Inspection Description)
F Ii P
-
_
Subdivision/PUD
Filing
Q
wLot
Block
Lot Area
Parcel No.
C
9701148063
OCompany
Name Contractor
License IN
Address City/State
H
ZPhone
Supervisor Cert. No.
V
Electrical
License No,
W
Mechanical
DUE VALLEY AIR
License No.
Roofing
License No.
F
OFraming
License No.
V
m
Plumbing
License No.
h
Concrete
License No.
REPLACE WATER HEATER
8
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.
Print name of owner/agent
Date I TOTAL FEES