HomeMy WebLinkAbout2712 Michener Dr - Permits - 08/29/2002I
_ Community Planning & Environmental Services BUILDING PERMIT
Division
PERMIT FEES
Building & Inspections
P.O. Box 580 281 N. College Ave.
Building Valuation
Fort Collins, CO 80522-0580 BQrLU��
City of Fort
$1788 1 0
Phone (970) 221-6760 Fax (970) 224-6134
ACCOUNT
FEE
DATE PAID
JOB
SITE ADDRESS 2712 MICHENER DR
PERMIT DATE 08/29/2002
SuildiW Permit
w 415.0
8/29/02
PERMITTYPE
WT`RFiTR WttfsrHeater
PERMIT LEVEL ISSl1_FUL
CATEGORYTYPE RESIDENTIAL
Last Witt;WWAAD B
Construction Type
Occupancy Group
Addrgc�l2 MICHENER DR
City/Stat�R. COWNS. CO
O No. of Stories
V
Building Height
0
Zip 8 M
Phone No. 204-49W
Building Square Foota96 Stock Plan/Options
Front Setback
Rear Setback
! 1
_Z
Right Side Setback
Left Side Setback
Z
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Plat File No. ZBA Case Number
Zoning District
(See reverse side for Inspection Description)
Subdivision/PUD
FilingP
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Lot Block Lot Area O Parcel N19728225005
Name Contractor License No.
OCompany
Address City/State
Z
Phone Supervisor Cert. No.
V
Electrical License No.
W
Mechanical
License No.
Roofing
License No.
H
ZZ
Framing
License No.
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PLUMING _ SING.
License No. NP—a
Concrete
License No.
WATER HEATER REPLACEMERT
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,
suspe ed, abandoned or inspected within 180 days from the late of s h permit or from the date of the last inspection.
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of own r/age�� Signa re r Date
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