HomeMy WebLinkAbout712 Alta Vista St - Permits/Water Heater - 08/08/2006in
Community Planning & Environmental Services BUILDING PERMIT
PERMIT FEES
Building & Inspections Division
P.O. Box 580 281 N. College Ave.
Building valuation
Fort Collins, CO 80522-0580
Ciry of F�Co Phone (970) 221-6760 Fax (970) 224-6134 B060381
ACCOUNT
FEE
DATE PAID
JOB
SITE ADDRESS
PERMIT DATE
I
712 ALTAyST.AsT
'R "'a " IFF'
Building Perait w/o Sub
$'S.
0 8/9/0
PERMIT
TYPE
W`TRHTR Water Heater
PERMIT LEVEL ISSU FUL
I CATEGORY TYPE
Last Name, First, Middle Initial
Construction Type Occupancy Group
did
'
-HT
Atltlress
City/State
p No. of Stories
builtling Height
0
SS9C
O
Zip Phone
Ani
No.
6uiltling Square Footage
Stock Plan/Options
Front Setback Rear
Setback
REQUIRED INSPECTIONS
Z
Right Side Setback Left Side Setback
CALL 221-6769
Z
TO SCHEDULE INSPECTIONS
Plat H. No.. ZRA Case Number Zoning District
Subdivision/PUD Filing
(See reverse side for Inspection Description'
Flip
Q
wLot
Block Lot Area Parcel No.
Company Name Contractor License No.
ad
G
Ti MR 596
u
t
Atltlress Ciry/State
Phone upervisor Can. No.
V
n e e
Electrical License No.
a.
Mechanical
License No.
10
URooting
License No.
Z
Framing
License No.
8
m
Plumbing
License No,
N
ConcregLOMB IN IHIE
License No.
INSTALL NEW 50 GALLON GAS WATER HEATER
F
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
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