HomeMy WebLinkAbout3349 Dudley Way - Permits/Water Heater - 11/19/2003Community Planning &Environmental Services BUILDING PERMIT
0 Man
Building & Inspections Division
P.O. Box 580 281 N. College Ave.
Building Valuation
i Fort Collins, CO 80522-0580
City of Fort Collins phone (970) 221-6760 Fax (970) 224-6134 B 0 3 a 7 5 4 3
ACCOUNT
FEE
DATE PAID
JOB
SITE ADDRESS 3349 DUDLEY WAY
PERMIT DATE i
,i 9/ 20`i 3
Building Permit Subs
$15. 0
1 1 / 19iO3
//
u/o
PERMIT
TYPE
PERMIT LEVEL
CATEGORY TYPE
WTRHTR Water Heater
ISSU_FUL
Residential
Last Name, First, Middle Initial
Construction Type
Occupancy Group
JOHNSON, MICHAEL O
Z
Address
City/State
Wp No. of Stories
Building Height
3
3349 DUDLEY WAY
FORT COLLINS, CO
O
U
O
Zip
Phone No.
Building Square Footage Stock Plan/Options
80526-2567
223-6280
Front Setback
Rear Setback
0
_Z
Right Side Setback
Left Side Setback
• • • •
Z
Plat File No. ZBA Case Number
Subdivision/PUD
Zoning District
Filing
(See reverse side for Inspection Description)
F N P
-
_
Q
wLot
J
Block Lot Area Parcel No.
0 972/421015
Name Contractor License No.
OCompany
V
a
Address City/State
Z
O
Phone Supervisor Cert. No.
U
Electrical License No.
[X
Mechanical
License No.
CCLIMIAHCH
HEATINGAQ.
H 1426
Roofing
License No.
H
ZO
Framing
License No.
U
m
Plumbing
License No.
N
Concrete
License No.
INSTALL 40 GALLON WATER HEATEP,
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.
name of owner/agent Signature Date
TOTAL FEES
$'rj
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