HomeMy WebLinkAbout1918 Constitution Ave - Permits/Water Heater - 10/14/2003Community Planning &Environmental Services BUILDING PERMIT
Building & Inspections Division
P.O. Box 580 281 N. College Ave.
Building Valuation
-
Fort Collins, CO 80522-0580
City of Fort Collins phone (970) 221-6760 Fax (970) 224-6134 B Q 3 0 6 7 8
ACCOUNT
FEE
DATE PAID
JOB
SITE ADDRESS
PERMIT DATE
1918 CONSTITUTION AVE
10/ 14/ 2001'3'
Building Permit w/o Subs
$15.011
10/14/03
PERMIT
TYPE
PERMIT LEVEL
CATEGORY TYPE
WTRHTR Water Heater
ISSU_FUL
Residentia
Last Name, First, Middle Initial
Construction Type
Occupancy Group
KELLEY RICHARD
Z
Address
City/State
LU
00 No. of Stories
Building Height
3
1918 CONSTITUTION AVE
FORT COLLINS, CO
0
0
Zip
Phone No.
V
Building Sq"FootagePlan/Options4
80526
215-8386Front
Setback Rear Setback
Z
Right Side Setback Left Side Setback
0
Plat File No. ZBA Case Number Zoning District
Subdivision/PUD Filing
(See reverse side for Inspection Description)
f N P
_
Q
wLot
Block Lot Area Parcel No.
J
0 3722206044
Name Contractor License No.
OCompany
V
a
Address City/State
Z
0
Phone Supervisor Cert. No.
V
Electrical License No.
ix
P
Mechanical
License No.
H
Roofing
Framing
License No.
License No.
Z
V
ca
Plumbing
License No.
h
All EN P1 I'MRING
Concrete
License No.
REPLACE 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 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
TOTAL FEES
$15.0