HomeMy WebLinkAbout412 E Elizabeth St - Permits/Plumbing - 06/13/2001Community Planning & Environmental Services BUILDING PERMITPERMIT
FEES
Building &Inspections Division
P.O. Box 580 281 N. College Ave.
Building Valuation
Fort Collins, CO 80522-0580
$1 200 00
City of Fort Collins
Phone (970) 221-6760 Fax (970) 224-6134 B0103579
ACCOUNT
FEE
DATE PAS
JOB
SITE ADDRESS 412 EELIZABETHST
PERMIT DATE 06/13/2001
Building Permit w/o Subs
$20.5
6/13/0
PERMITTYPE
PLUM PlumbingAkeration
PERMIT LEVEL ISSU_FUL
CATEGORY TYPE RESIDENTIAL
Last Name, First, Middle Initial
MCLEAN, JOHN J
Construction Type
Occupancy Group
Address DRIFTWOOD DR
City /State FORT COLLINS, CO
o "° of Stories 0
�
Building Height 0
Z
3
0
zip 8�25 Phone
No.
Building Square Footage
Stock Plan/Options
0
Front Setback Rear
Setback
•
Z
Right Side Setback Left Side Setback
Plat File No. ZBA Case Number Zoning District
(See reverse side or Inspection Description)
Subdivision/PUD Filing
RP F N P
_
Q
w
J
Lot Block Lot Area Parcel No. 9713226002
Name Contractor License No.
OCompany
Address
City/State
H
Z
Phone Supervisor Cart. No.
U
Electrical License No.
CIC
GMechanical
License No.
Roofing
License No.
0
Framing
License No.
m
Plumbing
License No.
N
Concrete
License No.
EXCAVATE AND REPAIR SEWER SERVICE, INSTALL CLEAN OUT. WORK TO BE PERFORMED BY THE DRAIN
SURGEON. 1447 E 4TH ST LOVELAND, CO 80537 635-2703
As
a condi n 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 not inspected within 180 da from the date of such permit or f the date of the last inspection.
To Cro � �
name of •wnedagent Sid uni Date
TOTAL FEES
$20•
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