HomeMy WebLinkAbout3313 Sam Houston Cir - Permits/Water Heater - 04/06/2000PERMIT FEES
Community Planning & Environmental Services BUILDING PERMIT
Building & Inspections Division
P.O. Box 580 281 N. College Ave. Building valuation $625.00
Fort Collins, CO 80522-0580 B0011798
�'CitvefF.�CO Phone (970) 221-6760 Fax (970) 224-6134
ACCOUNT FEE DATE PAID
JOB SITE ADDRESS 3313 SAM HOUSTON CAR NCO PERMIT OATF04/06/2000 Building PerilW01Subs $15,Q0 4/96r2000
PERMIT TYPE WTRHTR Water Heater PERMIT LEVELISSU_FUL CATEGORY TYPE RESIDENTIAL
Last Name, First, Middle Initial Construction Type Occupancy Group
c4 FLORES, FRED N
z ^�
o 7
Fr
C7
Z RI
Z
2 PI
s
Q
L<
90526
CL
GMechanical
Z
Roofing
oRooming
PO
Plumbing
AA PLUMBING
REPLACE WATER HEATER
IPI
MP-241
CO IU
O
(Jee reverse
FNP
0 I -
As a condjlion 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 beco null and void if the work authorized by such permit is not
commenced, suspended, abandoned or not inspected within 180 days frol lthe date of s c �rmit or from the date of the last inspection.
i �� c') 6
P ' t name of owner/ag t /V Signature Date TOTAL FEES
$15.00