HomeMy WebLinkAbout1603 Palm Dr - Permits/Water Heater - 07/02/1993IIENT SERVICES/BUILDING PERMITS & INSPECTIONS DIVISION
SITE SETBACKS
`- P.O. BOX 580, FORT COLLINS, CO 80522-0580
221-6769
REAR
1 e e BUILDING PERMIT
LEFT RIGHT
JOB SITE ADDRESS
F
Permit Type
Work Type
r T e
Cate 90 V YP
�WATER
HEATER
NEW
Dwelling
w
Proposed Use
Use Zone
Permit Level
RESIDENTIAL
FULL/FINAL
Subdivision PUD
FilingPERMIT
FEES
Q
Building valuation
Subdivision/PUD
w
300
FRONT
Lot
Block
Parcel No..
'ACCOUNT :
. -..,
FEES "�
DATE PAID
Last
SANTILLI
First
MARILYN
M.I.
BLDG PERMIT FLAT
15.00
Lot Area
w
Z
CITY SALES USE :TA
0.00
Address
City
Plat File No.
3
COUNTRY1501 CLUB RD
FORT COLLINS
O
State
ZiP
Phone No.
-
Off St Parking
Co
2 4-5916
Company Name
Contractor License No.
REQUIRED INSPECTIONS
°
EAGLE PLUMBING A HEATING
MP-161
O
CALL 221-6769
Address
1906 LEICESTER WAY
City
FT COLLINS
State
CD
p
TO SCHEDULE INSPECTIONS
zip
Phone
Sales Tax No.
BOS 6
224-2514
1 21639
or
Inspee reverse ection ect on Description)
Construction Type
Occupancy Group
Fire Sprinkler
Building Square Footage
No. of Stories
Bldg. Height
- TOTAL FEES
15.00
�p
fK9
HH 8731
Y
2
Occupant
P
Occupancy Separation
Area Separation
Fee Containment
3
2JULS13
HH 8761
ERM IT
15.00N
ry
O
No. of Dwelling Units
No. of Bedrooms
No. of Bathrooms
Fireplace/Stoves
Basement
Stock Plan
Options
Z
O
Text
a
WATER HEATER
At9T
UE
$15.00
G
EGK
$15.00
0
ZBA Case No.
BBA Case No.
DEPARTMENTAL
,.:
DEPARTMENT,,=
'...
REVIEW
„, " - •-i
;°- STATUS
„.
DATE x:
•
• -
Permit No.
0931663
Permit Date
JULY 2 1993
As a condition for the issuance of a permit, I hereby declare that I am an owner
....: L
UIU
"... .. -�
Electrical
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,
N
and City ordinances, and State laws associated with such work. I understand that
Mechanical
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.
Plumbing
Signature
Date
7- 53
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