HomeMy WebLinkAbout1175 Niagara Dr - Permits/Water Heater - 06/01/1993DEVELOPMENT SERVICES/BUILDING PERMITS & INSPECTIONS DIVISION SITE SETBACKS
`s P.O. BOX 580, FORT COLLINS, CO 80522-0580
221-6769 REAR
City of BUILDING PERMIT
JOB SITE ADDRESS
Permit Type Work Type Category Type LEFT RIGHT
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HE TER NqAI qinqla EAMJ IV Detached
Propos se Use Zone Permit Lever
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SubdivisionEl PUD FilingPERMIT FEES
Q Subdivision/PUD O Building valuation
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FRONT
Lot BlockParcel No. ACCOUNT FEE DAIS PAID
Last First M.I. Lot Area
BLDG,PERMIT FLAT 15.00
w Address City ;CITY ,SALES USE TA i040
Z Plat File No.
O
Stale zip Phone No. T Off St. Parking
m Company Name Contractor License No.
OAi I rN Pi limATNs A HEATING_REQUIRED INSPECTIONS
F
Address City State CALL 221-6769
TO SCHEDULE INSPECTIONS
Z ZAP Phone Sales Tax Nq. o (See reverse side for
Construction Type Occupancy Group Fire Sprinkler Inspection Description)
Building Square Footage No. of Stories Bldg. Fleight ' ° TOTAL FEES
FNP
O Occupant Load Occupancy Separation Area Separation Fire Containment
a No. of Dwelling Units No. of Bedrooms No. of Bathrooms Fireplace/Stoves Basement Stock Plan Options
O
Z
O- Text-
WATER HEATER REPLACEMENT. 1JUNY3 HH 7930
w 1JUN 3 HN 7. 0
° ERMIT $15.10IONT
AMT UE $15.00
ZBA Case No. BRA Case No. G EGI[ $15.00
Permit No. Permit Date `DEPARTMENT' STATUS-. "UATE :IIIIIIIIIIIIIIIiM• •
As a condition for the issuance of a permit, I hereby declare that I am an owner OTC PER IT ISS 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,
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
ORIGINAL - FILE, BLUE - OFFICE, CANARY - SALESTAX, PINK - APPLICANT, TAG, - FIELD CARD