HomeMy WebLinkAbout2642 Adobe Dr - 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 2642 ADOBE DR
PERMIT TYPE PER
MECH Mechanical Alteration
Last Name, First, Middle Initial
COLVIN, PHILLIPS
Z Address City/State
3 2642 ADOBE DR FORT COLLINS
Zip Phone No.
80525
Front Setback Rear Setback
0
Z Right Side Setback Left Side Setback
Z
Q Plat File No. ZBA Case Number Zoning District
Subdivision/PUD Filing
Q
wLot Block Lot Area Parcel No.
J
OCompany Name Contractor License No.
PLUMB IN TIME MP 567
Q Address City/State
License No.
13.,:
Mechanical
License No.
0
Roofing
License No.
F
Z
Framing
License No.
U
m
V)
Plumbing
License No.
N
Concrete
License No.
INSTALL 50 GALLON ELECTRIC WATER HEATER
8
I -
BUILDING PERMIT
Building Valuation
B0602164
ACCOUNT
PERMIT DATE
0 5 // 10/2006, Building Permit w/o
ISSU_FUL
Construction Type Occupancy Grc
CO OutNo. of Stories Building Height
v
Building Square Footage Stock Plan/Options
30117165
(See reverse side for Inspection Description)
CL FNM
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 DATE PAID
$15.00 5/10/ 6
Print name of owner/agent
Signature
Date ( TOTAL FEES
$1