HomeMy WebLinkAbout4040 S College Ave - Permits/Water Heater - 01/19/2000e,. Community Planning & Environmental Services BUILDING PERMIT
PERMIT FEES
Building &Inspections Division
P.O. Box 580 281 N. College Ave.
Building valuation $450.00
Fort Collins, CO 80522-0580 B0010103
City ofCity of F Phone (970) 221-6760 Fax (970) 224-6134
ACCOUNT
FEE
DATE PAID
JOB
SITE ADDRESS 4040 S COLLEGE AVE FTCO
PERMIT DATE 01/19/2000
Pehoitw0l"s
$15,00_ __-
1119120-0Q
PERMITTYPE
PERMIT LEVEL
CATEGORY TYPE
1
WTF#TR Water Heater
ISSu_FUL
RESIDEWLAL
_---_
Last Name, First, Middle Initial
Construction Type
Occupancy Group
B B PROPERTY COMPANY
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Z
wp p
Address
PO BOX 9312-RE DEPT
City/ S
��AIEAPOLIS, MN
No. of Stories
Building Height
O
Zip 55"04312 Phone
No.
Building Square Footage 0 Stock Plan/Options
Front Setback Rear
Setback
• 1 •
Z
Right Side Seteack Leff
Side Setback
Z
• 1:R4411IN19
10
(See reverse side for Inspection Description)
FlJP SPI
-
Plat File No. ZBA Case Number
SubdivisioNPUD
Zoning District
Filing
4
W
Lot Block Lot Area 0 Pa.03B344001
Name Contractor License No. J�
OCompany
Address
Ciry/State
f.
OPhone
Supervisor Carl. No.
V
Electrical License N0.
— _
[C
_—
Mechanical
License No.
Roofing
License No.
Framing
License No.
m
PiAWMN
License No.
WATER HEATER REPLACEMENT AT BEST BUY
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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
Corrimenced,
suspended, abandoned or not inspected within 180 days from the d esof such permit or from the date of the last inspection.
t JLJ
TOTAL FEES
t name of owner/ag nt gnature Date
i
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