HomeMy WebLinkAbout3500 Carlton Ave - Permits/Water Heater - 07/12/2006Community Planning &Environmental Services BUILDING P E RM I T
09 Building & Inspections Division
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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 3 3 0 S
'DATE
ACCOUNT
FEE
PAID
JOB
SITE ADDRESS
PERMIT DATE
3500 CARLTON AVE H33
07112120015
Building Permit w/o Sub
$15.
0 7/12/0
PERMIT
TYPE
PERMIT LEVEL
CATEGORY TYPE
WTRHTR Water Heater
ISSU FUL
Residential
Last Name, First, Middle Initial
Construction Type
Occupancy Group
HUDAK,BETH
Z
Wp
Address
City/State
No. of Stories
Building Height
3500 CARLTON AVE #H-33
FORT COLLINS CO
V
Zip
Phone No.
Building Square Footage Stock Plan/Options
80525-2910
223-0882
Front Setback
Rear Setback
Z
Right Side Setback
Left Side Setback
• • •
Z
• •
Plat File No. ZBA Case Number
Subdivision/PUD
Zoning District
Filing
(See reverse side for Inspection Description)
f rn
a
wLot
Block Lot Area Parcel No.
J8730420001
Name Contractor License No.
OCompany
C
P& H H 1 C 8 A/C, 1 N C
City/State
Address
201 SMOKEY ST FORT COLLINS, CO 80525
Z
Phone Supervisor Cert. No.
970 226 3619
Electrical License No.
Mechanical
License No.
Cn
n
Roofing
License No.
Z
Framing
License No.
V
m
0
Plumbing
License No.
V)
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.
name of owner/agent Signature Date
TOTAL FEES
$15
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