HomeMy WebLinkAbout2636 Shadow Mountain Dr - Permits/Water Heater - 10/15/1991DEVELOPMENT SERVICES/BUILDING PERMITS & INSPECTIONS DIVISION
P.O. BOX 580, FORT COLLINS, CO 80522-0580
221-6769
BUILDING PERMIT
JOB SITE ADDRESS
F,
Permit Type
HEATER
wProposed
-WAIER
Use
a
S TDFNTTAL
Subdivision
PUD ❑
Q
Subdivision/PUD
(D
J
Lot
Block
Last
First
SCHNEIDER
R
w
Address
32636
HADOW
MOUNTAIN
O
State
co
Zip
8052S
OALLEN
Company Name
PLUMBING
HEATING
QAddress
Z
O
Zip
Phone
U
Construction Type
Building Square Footage
'e
Occupant Load
Oct
O
3
No. of Dwelling Units
No. of Bedrooms
O
Z
O
Text:
a
WATER HEATER
REPLACEMENT
a
U
y
w
O
Filing
Parcel No ACCOUNT
M.I.
BLDB PERMIT FLAT
Phone No.
223-821
Contractor License No.
MP -
City
Sales Tax No.
-4841 1 10010
Occupancy Group Fire Sprinkler
No. of Stories Bldg. Height
Separation Area Separation
ZBA Case No. / BBA Case No.
Permit No. Permit Date
0912828 OCTOBER 15, 1991
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 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.
Signature Date
ORIGINAI - FII F BLUE - OFFICE. CANARY - SAI FCTAX. PINK - APPLICANT T.AG - FIEI D CARD
CITY SALES USE TA
TOTAL FEES
Fire Containment
Stock Plan
SITE SETBAPKS
REAR
LEFT RIGHT
19 FRONT
FEE DATE PAID
Lot Area
15.00 911015
0.00 911015 Plat File No.
Off St. Parking
Options
STATUS I DATE
V t I -I -SS—
[`
III
CALL 221-6769
TO SCHEDULE INSPECTIONS
(See reverse side for
Inspection Description)
FNP � 7
Plumbing