HomeMy WebLinkAbout2025 Orchard Pl - Permits/Water Heater - 12/06/1991DEVELOPMENT SERVICES/BUILDING PERMITS & INSPECTIONS DIVISION
��4AP.O. BOX 580, FORT COLLINS, CO 80522-0580
221-6769
BUILDING PERMIT
JOB SITE ADDRESS 2025 ORCHARD PL
Pe"WAYER HEATER
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a
W°RiDENTIAL
use zone
Subdivision ❑ PUD
Filing
Q
Suhdivisian/PUD
C7
J
Lot Block Parcel No.
`aTANSFIELD F'`t CYNTHIA ""'
z
3
°=25 ORCHARD PL
City FT COLLINS
O
StateC0
Zip 80521
Phone No.
OO
Company Name
Contractor License No.
Address
Cit Y St
z
Z
O
U
Z'P
Phone
Sales Tax No.
Construction Type
Occupancy Group
Fire Sprinkler
B"'WATERe "'AEi'ER REPLACEMENT
No of Stories
Bldg Height
O
Occupant Load
Occupancy Separation
P Y P
Area Separation
3
�y
O
No. of Dwelling Units No. of Bedrooms
Fireplace/Stoves
Basement
Z
O Text:
H
a
0913476
DECEM@ER h, 1991
No.
I As a condition for the issuance of a -permit, 1 hereby declare that 1 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' uance was based on incorrect information.
Signature L Date p
ORIGINAL - FILE, BLUE - OFFICE, CANARY - SALESTAX, PINK - APPLICAN , TAG - FIELD CARD
-SIRISLE FAMILY DETACHED
Pern-pUCL /FINAL
PERMIT FEES
Building Valuation 200
ACCOUNT FEE ' DATE PAID
BLDG PERMIT FLAT 15.00
CITY SALES USE TA 0.00
15.001
TOTAL FEES
Fire Containment
Stock Plan Ominnc
OTC PERMIT ISS
i STATUS i
r
SITE SETBACKS
REAR
LEFT RIGHT
FRONT
No.
Electrical
Plumbing
CALL 221-6769
TO SCHEDULE INSPECTIONS
FNf(See reverse side for
nspection Description)