HomeMy WebLinkAbout1986 Massachusetts St - Permits/Water Heater - 05/10/2006Community Planning & Environmental Services
Building & Inspections Division
P.O. Box 580 281 N. College Ave.
Fort Collins, CO 80522-0580
City of Fort Collins phone (970) 221-6760 Fax (970) 224-6134
JOB SITE ADDRESS 1986 MASSACHUSETTS ST
PERMIT TYPE PER
WTRHTR Water Heater
Last Name, First, Middle Initial
LAJ
Z
Address
City/State
3
L
Zip
Phone No.
80525
204-1287
Front Setback
Rear Setback
0
Z
Right Side Setback
Left Side Setback
Z
2
Plat File No.
ZBA Case Number
Zoning District
Subdivision/PUD
Filing
a
WLot
J-
Block
Lot Area
Parcel No.
BUILDING PERMIT
Building Valuation
B0602155 ACCOUNT
PERMIT DATE
J5 Z 10'2
.EVEL CATEGORY TYPE L)DS Building Permit w/o
ISSU FUL Residenti I
Construction Type Occupancy Group
LU
C1 No. of Stories Building Height
0
Building Square Footage Stock Plan/Options
Address City/State
101 S_ 1 1jIK I AKF I FORT Col I TICS, co R05
Phone I Suoervisor Cert. No.
=
Mechanical
License No.
0
Roofing
License No.
H
Z
Framing
License No.
V
m
Plumbing
License No.
N
PLUMBING
Concrete1:4111
License No.
INSTALL WATER HEATER
1
(See reverse side for Inspection Description)
FNP
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.
FEE DATEPAID
$15.00 5/10/ E
Print name of owner/agent
Date
TOTAL FEES