HomeMy WebLinkAbout1618 Quail Hollow Dr - Permits/Water Heater - 06/26/2006Community Planning &Environmental Services BUILDING PERMIT
.
nor-IMIM
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 g 0 6 0 3 1 0
ACCOUNT
FEE
DATE PAID
JOB
SITE ADDRESS 1618 QUAILHOLLOW DR
PERMIT DATE
I 05126/2006Building
Permit w/o Sub
i $15.
0 6/26/0
PERMIT
TYPE
PERMIT LEVEL
CATEGORY TYPE
WTRHTR Water Heater
ISSU FUL
Residential
Last Name, First, Middle Initial
Construction Type
Occupancy Group
LU
Z
Address
City/State
Wp No. of Stories
Building Height
O
Zip Phone
No.
Building Square Footage Stock Plan/Options
O
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 N F
Subdivision/PUD
Filing
_
Q
wLot
u.
Block
Lot Area
Parcel No.
OCompany
Name Contractor
License No.
H
1 T T
Address City/State
Z
FORI
Phone
Supervisor Cert. No.
o
970 0
Electrical
License No.
Mechanical
License No.
0
Roofing
License No.
F—
License No.
OFraming
V
co
Plumbing
License No.
h
Concrete
License No.
INSTALL WATER HEATER
W
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