HomeMy WebLinkAbout1725 Valley Forge Ave - Permits/Water Heater - 10/08/1991DEVELOPMENT SERVICES/BUILDING PERMITS & INSPECTIONS DIVISION
P.O. BOX 580, FORT COLLINS, CO 80522-0580
41tv.
221-6769
BUILDING PERMIT
JOB SITE ADDRESS 17 2r,
VALIFY EQRrEAVE
LEFT
F
Permit TVPe
VEork Type Category Type
5INBLE FAMILY
DETACHED
aUse
nT
Propoaeduae
Zone Permit Level
FULL/FINAL
Subdivision
PUD
Filing
PERMIT
FEES
<
Building Valuation
400
Subdivision/PUD
w
J
Lot
Brock
Parcel No.
ACCOUNT
FEE
DATE PAID
Last
First
M L
BLDS PERMIT FLAT
15.00
911008
Lot Area
Plat Pile No
w
CCALL
SALES USE TA
5.50
91IQ08
CityCITY
3
;dafQSS
v
FT ''DLLINS
Parka
O
off St
State
Zip
Phone No.
96
Company Name
Contractor License No.
O
Q
Address
City
State
¢
ZO
Zip
Phone
Sales Tax No.
U
Building Square Footage
¢ Occupant Load t
3
u- No. of Dwelling Units No. of Bedrooms
O
Z
O �Tdxt
Dr WATER HEATER REPLACEMENT
Y
U
N
se No. U /
Separation
of Stories
Separation
0912675 �S�/ Pe[MbER 8, 1991
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.
Date
SITE SETBAC
REAR
FRONT
RIGHT
CALL 221-6769
TO SCHEDULE INSPECTIONS
(See reverse side for
Inspection Description)
TOTAL FEES ( 20.50 I FNP
Tre Con[ainment
DEPARTMENT STATUS l DATE
PT
TEM3JI Etectricai
IAL - FILE. BLUE - OFFICE, CANARY - SALESTAX, PINK - APPLICANT, TAG - FIELD CARD