HomeMy WebLinkAbout208 S Shields St - Permits/Water Heater - 12/18/1996Community Planning & Environmental Services BUILDING P E RM I T
Building Permits & Inspections Division
P.O. Box 580 221-6769
CityCity°fF Fort Collins, CO 80522-0580
JOB SITE ADDRESS 208 S SHIELDS ST - 80521
F Permit Type work Type Category TYPE
WATER HEATER NEW SINGLE FAMILY DETACHED
Proposed Use
Use Zone Permit Level
a
RESIDENTIAL
FULL FINAL
J
Subdivision PUD
Filing
PERMIT FEE
Q
LD
Subdivision/PUD
But l ding Valuation
W
488
J
Lot
Block
Parcel No.
ACCOUNT
Lost
First
M.I.
a<
BROWN -LEE
R
W
BLDG PERMIT FLAT
1
Z
CITY SALES USE TA
Address
city
3
1426 S. KEARNEY
DENVER
COUNTY SALES TAX
O
State
Zip
Phone No.
CO
80524
223-2204
W
Com any Name
PLUMBING & HEATING
Contractor License No.
MP-4
;St-CO
GALCEN
Address
city
te
101 S. LINK LN.
FT COLLINS
Sales Tax No.
484-4841 1 10010
Building Square Footage
Basement Square Footage
No.
0
Se
Occupancy Load
Occupancy Separation
Are
W
O
3
No. of Dwelling Units
No. of Bedrooms
No of Bath
LL
0
o
WATER HEATER
REPLACEMENT
a
u
N
w
C)
ffMNEM 0964530 f� 'f IPermit DMCEMBER 18, 1996
Asa 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. 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
SETBACKS
REAR
LEFT
FRONT
Lot Area
Plot File INlo.
Off St. Pct�kii
OF
RIGHT
TO SCHEDULE INSPECTIONS
(See reverse side for Inspection Description)
FNP
OTC PERM T ISS N/A
ptechanic;
N/A
Plumbing'
N/A
Other
N/A