Loading...
HomeMy WebLinkAbout4501 Boardwalk Dr - Permits/Water Heater - 07/24/2006Community Planning &Environmental Services BUILDING PERMIT PERMIT FEES Building & Inspections Division P.O. Box 580 281 N. College Ave. Building Valuation FortCollins, CO 80522-0580 ctty of Fart collies phone (970) 221-6760 Fax (970) 224-6134 B G 6 0 3 5 6 8 ACCOUNT` FEE DATE PAID JOB SITE ADDRESS PERMIT DATE © " __,_Building Fermi, _wJo Sub �,t3.• _P._ J/241_a PERMIT TYPE PERMIT LEVEL CATEGORY TYPE WERHIR Water Heater ISSU FUL Residents 1.� Last Name, First, Middle Initial Construction Type Occupancy Group Z Address City/State in No. of Stories Building Height s Zip Phone No. V Building Square Footage Stock Plan/Options O+C1 AM Front Setback Rear Setback Z Right Side Setback Left Side Setback • • ��� _ _ _ a� O N Plat File No. ZBA Case Number Zoning District (See reverse side for Inspection Description) _ Subdivision/PUD Filing F N Q Q wLot Block Lot Area Parcel No. J .. __. __.._........ .. _. ,. e _ _.. 95 Companv Name Contractor License No. City/State 0 Phone Supervisor Cert. No. U Electrical License No. Q' Mechanical License No. Q F— H Roofing - License No. Z Framing License No. V m Plumbing License No. N Concrete License No. REPLACE 40 GAUGAS WATERHEATER 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. Signature Date