HomeMy WebLinkAbout5131 Bulrush Ct - Permits/Water Heater - 06/08/2006Community Planning &Environmental Services BUILDING P E RM I TPERMIT 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 B 0 6 0 2 7 1 6 '
ACCOUNT FEE DATE PAID
5131 BULRUSH CT PERMIT DATE U v n y n
JOB SITE ADDRESS /o�, �oos Building Permit w/o Su $15. o s/s/o
PERMITTYPE WT.RH.T-R Water Heater PERMIT LEVEL ISSU_FUL CATEGORY TYPE Resident)
Last Name First, Middle Initial Construction Type Occupancy Group
A$HLEY,DAVID
ZILIJ
Addres5131 BULRUSH CT City/State FORT COLLINS, CO O No. of Stories Building Height
Zip 80525 Phone No. 226-4368 VBuilding Square Footage 0 1 Stock Plan/Options
Front Setback Rear Setback
Z_ Right Side Setback Left Side Setback • • •
Z • •
2 Plat File No. ZBA Case Number Zoning District (Seereverseside for Inspection Description)
Riihriivicinn/PI If) Filinn f NP
J
Q
w
J
Lot
Block
Lot Area
arcel No. 9601405011
o
Company Name
ALLEN
PLUMBING &
HEATING
Contractor License No. MP 4
Address
S.
LINK LANE
city/StTbRT
COLLINS, CO 80521
Z
0
Phone
970 484 4848
Supervisor Cert. No.
Electrical
License No.
01
Mechanical
License No.
Roofing
License No.
Z
Framing
License No.
U
Co
Plumbin
kILEN
PLUMBING &HEATING
License No.
MP 4
Concrete
License No.
INSTALL WATER HEATER
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 Signature Date TOTAL FEES $15.