HomeMy WebLinkAbout3500 Rolling Green Dr - Permits/Water Heater - 06/12/2002Community Planning &Environmental Services A= BUILDING PERMIT
PERMIT FEES
Building & Inspections Division
P.O. Box 580 281 N. College Ave.
Building valuation
Fort Collins, CO 80522-0580
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City of Fort Collins phone (970) 221-6760 Fax (970) 224-6134 B 0 2 0 3 4 1 0
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JOB SITE ADDRESS 3500 ROLLING GREEN DR D23
PERMIT DATE 06/12/2002
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$15. 00
/12/02
PERMIT TYPE WTRHTR Water Heater
PERMIT LEVEL
CATEGORY CATEGORY TYPE RESIDENTIAL
Last Name, First, Middle Initial
Construction Type
Occupancy Group
BRING, PAUL
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Address
1007 HOPSON CT
City / State
FORT COLLINS, CO
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p No. of Stories
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Building Height
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Z'�0526 Phone
No. 97�-229-17�7�
Building Square Footage Stock Plan/Options
Front Setback Rear
Setback
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0
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Right Side Setback Left
Side Setback
'
Z
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(See reverse side for Inspection Description)
Plat File No.
ZBA Case Number
Zoning District
FNP
Subdivision/PUD
Filing
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Lot
Block
Lot Area 0
Parce16'�30318001
OCompany
Name
Contractor License No.
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Address
City/State
F-
OPhone
Supervisor Cert. No.
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Electrical
License No.
Mechanical
License No.
Roofing
License No.
F
Z
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Framing
License No.
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F A STAR PLUMBING
No.
1-iP-148
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Concrete
License No.
REPLACE WATER HEATER.
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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 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 or incomplete 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 or from the date of the last inspection.
Print name of owner/agent Signature Date
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