HomeMy WebLinkAbout1416 Pikes Peak Ave - Permits/Water Heater - 04/10/1997Community Planning & Environmental Services BUILDING PERMIT
Building Permits & Inspections Division
City of Fort Collins
P.O. Bo
Fort Collins,s CO 80522-0580
221 6769
JOB SITE ADDRESS
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Permit Type
Wor TYPe
Category TYPE
WATER HFATER
NEW
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0
Proposed Use
Use Zone
Permit Level
J
Subdivision ❑
PUD ❑
FilingPERMIT
FEES
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J
Subdivision/PUD
Building Valuation
Lot
Block
Parcel No473
ACCOUNT
FEE
DATE W
I�
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O
Building Square Footage
Basement Square Footage
No. of Stories
�Occupancy
Load
Occupancy Separation
Area Separation
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3
No. of Dwelling Units I
No. of Bedrooms
No. of Bathrooms
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Z
Text
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OATER HEATER
REPLACEMENT
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a
V
h
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No.
As a condition for the issuance of a p r it, I hereby declare that I am an owner or the
owner's agent, authorized to perfor e 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 maybe 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.
Signature
Date
T FLAT
ESSTAXA 1' 10.00
LEFT
SETBACKS
REAR
FRONT
RIGHT
REQUIRED•
CALL 221-6769
TO SCHEDULE INSPECTIONS
(See reverse side for Inspection Description)
77
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Plumbin
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