HomeMy WebLinkAbout640 S Shields St - Permits - 02/11/2002Community Planning &Environmental Services BUILDING PERMIT
Building & Inspections Division
PERMIT
FEES
P.O. Box 580 281 N. College Ave.
Building valuation
Fort Collins, CO 80522-0580$99�
City
of Fort Co llins
Phone (970) 221-6760 Fax (970) 224-6134 8 p 2 Q Q 6 2{
�a
ACCOUNT
FEE
DATE PAID
SITE ADDRESS 640 S SHIELDS ST PERMITDATE 02/11/2002
JOB
lding Permit
$15.00
/11/02
PERMITTYPE
WTRH T R Water Heater
PERMIT LEVEIISSU FUL
1 _
CATEGORYTYPE
RESIDENTIAL
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Construction Type Occupancy Group
w
jA�1Qr6s
>0
O No. of Stories Building Height
GRANT LANE
o�ty /�ODSTOCK. GA
V Building Square Footaagg Stock Plan/Options
�t 88
Phone No. 770-591-32U7
Front Setback
Rear Setback
0
REQUIRED
_Z
Z
r'
Right Side Setback Left Side Setback
2
Plat File No. ZBA Case Number Zoning District
Subdivision/PUD Filing
• INSPECTIONSULE
(See reverse si a or Inspection Description)
FNP
J
Q
wLot
-
Block Lot Area 0 Paro".14209088
Name Contractor License No.
OCompany
V
Address
City/State
O
Phone Supervisor Cert. No.
V
Electrical License No.
GMechanical
License No.
Roofing
License No.
V
Framing
License No.
m
AL•JL' RICAN SERVICES, INC
License N P-315
Concrete
License No.
INSTALL 50 GALLON RESIDENTIAL WATER HEATER.
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
herein. I agree to comply with all City ordinances, and State laws associated with such work. I understand that
As a
described
event
commenced,
such permit may be revoked in the
that issuance was based on incorrect or incomplete information. This permit shall become null and void if the work authorized by such permit is not
suspended, abandoned or not inspected
within 180 days from the date of such permit or from the date of the last inspection.
name of owner/agent Signat{ge / /- d
Print
Date
TOTAL FEESr15.00