HomeMy WebLinkAbout1426 W Mountain Ave - Permits/Water Heater - 05/14/1997'
Community Planning & Environmental Services
BUILDING PERMIT
Building Permits & Inspections Division
P.O. Box 580
221-6769
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Fort Collins, CO 80522-0580
JOB SITE ADDRESS 1426 W M UNTAIN AVE80521
F
Permit Type
work Type
Category TYPE
WATER HEATER
NEW
SINGLE FAMILY DETACHED
Use Zone
Permit Level
w
Proposed Use
RESIDENTIAL
FU L FINAL
J
Subdivision
PUD
Filing
PERMIT FEES
�
Subdivision/PUD
Building Valuation
W
436
J
Lot
Block
Parcel No.
ACCOUNT
FEE
`
DATE F
oc DLnciAtrum DrtHU
w Address City
3 1426 W MOUNTAIN AVE FORT COLLINS-
0 State Zip Phone No.
O 80521 221-0302
OCompany Name Contractor License No.
r LLEN PLUMBING & HEATING MP-4
V Address City State
PO BOX 567 FT COLLINS CO
Z Zip Phone Sales Tax No.
0 1 484-4841 10010
Building Square Footage
Basement Square Footage
No. r
0
Y
Occupancy Load
Occupancy Separation
Area
ce
O
3
No. of Dwelling Units
No. of Bedrooms
No. of Bothn
1L
0
Z
Teat
WATER HEATER
REPLACEMENT
O
a_
a
u
N
w
0
Permit Date
0971585 MAY 14, 1997
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 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.
Signoture
Date
LEFT
SETBACKS
REAR
FRONT
RIGHT
:ITY SALES USE TA 0.00 970514 Plat File Na.
:OUNTY SALES TAX 970514
__..... Off Sf. Parking
REQUIRED•
CALL221-6769
TO SCHEDULE INSPECTIONS
(See reverse side for Inspection Description)
I FNP
ucrttmervf- afAtua. unfr
Electric,
OTC PERmir ISS N/A
Mechan
N/A
Plumbir
N/A
Other
N/A