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Home My WebLink About1713 Centennial Rd - Permits/Water Heater - 03/25/2013F __ -- 6r.1t Collins Site Address: 1713 CENTENNIAL RD Job Valuation: $837.55 Category: Residential Owner: SELEEN WILMA L/RODNEY L Community Development & Neighborhood Services 281 N. College Ave Fort Collins, CO 80522 970.221.676o 970.224.6134-fax Building Permit#: B1301287 Issued Full: 03/25/2013 Permit Type: Residential Water Heater 1713 CENTENNIAL RD FORT COLLINS, CO 80525-2416 Phone: 970-225-0166 Zoning: Front setback: Rear setback: Right setback: Left setback: Minor Amend #: Plat File #: ZBA Case #: Zoning district: RL - LOW DENSITY RESIDENTIAL DISTRICT Legal: Subdivision/PUD: I Filing #: Lot #: Block #: Code: Res sq ft: Com sq ft: Ind sq ft: Basement sq ft: # of stories: Occ Group: Const Type: Fire Sprklr: Stock plan #: Stock plan options: Contractor: COLORADO DELTA MECHANICAL License #: MP-644 Supervisor cert #: 6056 EAST BASELINE RD #155 MESA, AZ 85206 Subcontractors)j Plumbing: I COLORADO_DELTA.MECHANICAL UO Work Description: Replace water heater 40 gallon Phone:866-692-5273 -38,000 BTU's____� License Number ❑ MP-644—_ I II SCHEDULE INSPECTIONS: *** By Phone: 970-221-6769 *** By Web: hftp://amos.fcgov.com/CitizenAccess III ***By Mobile Device: http://amos.fcgov.com/CitizenAccess/amca/ Inl Inspections: FNP FINE FNM TOTAL FEES PAID AS OF 03/25/13: $43.64 Payment method: Trust Account ** Fee Detail Displayed on Next Page Asa condition for the issuance of a permit, I hereby declare that I am the owner or owners agent, authorized to perform the proposed work on the property described herein. I agree to comply with all the requirements contained herein, and 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 information. This permit shall become null and void if the work authorized by such permit is not commenced, suspended, abandoned or not inspected within 180 days from the date of such permit. Carbon Monoxide Alarm required within 15 feet of each bedroom entrance. ENTERED MAR 2 5 2013 Signature: Print Name: Date: Form Revised Oct 2010 City. of Ft Collins Site Address: 1713 CENTENNIAL RD Job Valuation: $837.55 Category: Residential Transactions Method Check Number Date Paid Amount Paid Trust Account 03/25/2013 $43.64 Receipt issued: 03/25/2013 Total Paid to Date: $43.64 Fee Description Account Code Fee Amount City Sales/Use Tax 251.122030 $16.13 County Sales/Use Tax 100.217030 $2.51 Permit Flat Fee w/o Subs $25 1000.422010 $25.00 281 N. College Ave Fort Collins, CO 80522 970.221.676o 970.224.6134 -fax Building Permit#: B1301287 Issued Full: 03/25/2013 Permit Type: Residential Water Heater Comments colorado delta trust Amount Paid Date Paid Amount Due $16.13 03/25/2013 $0.00 $2.51 03/25/2013 $0.00 $25.00 03/25/2013 $0.00 TOTAL FEES: $43.64 $43.64 $0.00 TOTAL BALANCE DUE AS OF 03/25/2013: 0.00 N Fee Amounts are valid for date of this document only. Fees subject to change without notice.