HomeMy WebLinkAbout1609 Underhill Dr - Permits/Water Heater - 06/29/2006Community 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 1609 UNDERHILL DR 5
PERMIT TYPE PER
WTRHTR Water Heater
Last Name, First, Middle Initial
NEVI LE. DE RAH
LU
z Address
City/State
3 1609 UN ERHILL DR #5 FORT COLLINS,
Zip Phone No.
80526 520-6998
Front Setback Rear Setback
0
Z Right Side Setback Left Side Setback
Z
Plat File No. ZBA Case Number Zoning District
J Subdivision/PUD Filing
a
WLot Block Lot Area Parcel No.
97222
'X Company Name I Contractor License No.
Address City/State
cr
Phone 910 561 3050 Supervisor Cert. No.
Electrical I License No.
mecnanicai
License No.
H
H
Roofing
License No.
License No.
OFraming
V
m
Plumbing
License No.
N
nuauorne ninuoTun o urAT
REPLACE WATER HEATER
.BUILDING PERMIT
Building Valuation
B0602924 ACCOUNT
PERMIT DATE
06/29/ 2005 Building Permit w/o
.EVEL CATEGORY TYPE
ISSU_FUL Residential City Sales/Use Taz
Construction Type Occupancy Group
County Sales/Use Tax
p No. of Stories Building Height
i O Building Square Footage I Stock Plan/Options
(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 DATE PAID
Ib $15. 0 6/29/0
$7._5 6/29/0
$2.12 6/29/0
Print name of owner/agent Signature
Date
TOTAL FEES