HomeMy WebLinkAbout1652 E Pitkin St - Permits/Water Heater - 04/02/1993i
DEVELOPMENT SERVICES/BUILDING PERMITS & INSPECTIONS DIVISION
P.O. BOX 580, FORT COLLINS, CO 80522-0580
221-6769
BUILDING PERMIT
JOB SITE ADDRESS
Permit Type
WATFIR ATER
aProposed Use
Subdivision PUD
J Subdivision/PUD
a
w Ad
3
O Sta
Col
� Ad.
Z Zip
O
Use Irene
Filing
:k Parcel No.
t M.I.
HOUSING
City
Phone No.
Contractor License No.
_
1076
City
Building Square Footage
14
Occupant Load Occ
O
_LL rNo. of Dwelling Units No. of Bedrooms r
O
Z
O Text:
WATER HEATER REPLACEMENT
U
N
W
O
Sales Tax No.
upancy Group Fire Sprinkler
of Stories Bldg, Height
Area Separation
Level
SITE SETBACKS I /
REAR
LEFT RIGHT
FRONT
T SEE bi T MID
Lot Area
T FLAT 00.00 . 00
U5E TA Plat Fite No.
xw
. Off St. Parking
REGUIRED INSPECTIONS
:y
CALL 221-6769
TO SCHEDULE INSPECTIONS
z (See reverse side for
Inspection Description)
r 1 <.4Oi1�= FNP
ZBA Case No. BBA Case No. - DEPARTMENTAL
•.,
Permit No. Permit Date 14 as
ii��AtiT�AENt STRSTIJ$ =13AI
As a condition for the issuance of a permit, I hereby declare that I am an owner
OTC PERMIT ISS�
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. '
Signature Date
ORIGINAL - FILE. BLUE - OFFICE. CANARY - SALESTAX, PINK - APPLICANT, TAG - FIELD CARD