HomeMy WebLinkAbout1401 Shortleaf St - Permits - 06/12/2002Community Planning &Environmental Services BUILDING PERMIT
PERMIT FEES
Building & Inspections Division
P.O. Box 580 281 N. College Ave.
Building valuation
Fort Collins, CO 80522-0580
$500.00
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JOB SITE ADDRESS 1401 SHORTLEAFST
PERMIT DATE 06/12/2002
wilding Permit
$15.00
/12/02
PERMIT TYPE W'r'RHTR Water Heater
PERMIT LEVEL
CATEGORY CATEGORY TYPE RESIDENTIAL
Last Name, First, Middle Initial
Construction Type
Occupancy Group
DEINES, GEORGIANA J
Z
3
Address
1401 SHORTLEAF ST
City / State
FORT COLLINS, CO
wp No. of Stories
0
Building Height
Zi Phone
90524
No.
970-484-9904
Building Square Footage
0 Stock Plan/Options
Front Setback Rear
Setback
_Z
Right Side Setback Left
Side Setback
Z
(See reverse side for Inspection Description)
Plat File No.
ZBA Case Number
Zoning District
r NP
Subdivision/PUD
Filing
J
Q
w
J
Lot
Block
Lot Area
Parce1401129009
/
OCompany
Name
Contractor License No.
V
Address
City/State
H
Z
Phone
Supervisor Cert. No.
V
Electrical
License No.
d'
Mechanical
License No.
a0
Roofing
License No.
d
H
Z
0
Framing
License No.
m
Plumbin
MAD�EN PLUMBING
License No.
MP-263
V)
Concrete
License No.
CHANGE OUT WATER HEATER.
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
Tdf "FEES