HomeMy WebLinkAbout3136 S Lemay Ave - Permits/Water Heater - 01/31/2003Community Planning & Environmental Services
10ML BUILDING PERMIT
PERMIT
Building & Inspections Division
44z%P.O. Box 580 281 N. College Ave.
Building Valuation
ii�W1
Fort Collins, CO 80522-0580
3 0.00
City of Fort Collins Phone (970) 221-6760 Fax (970) 224-6134 B 0 3 0 0 5 3
ACCOUNT
FEE
DATE PAID
JOB SITE ADDRESS3136 S LEMAY AVE
PERMIT DATE 1/31/2003
I
luilding Permit w/o Subs
ity Sales/Use Tax
ounty Sales/Use Tax
$15.00
$4.50
;1.20
1/31/03
1/31/03
1/31/03
PERMIT TYPE
Wi"RHTR Water Heater
PERMIT LEVEL
ISSU_FUL
CATEGORY TYPE
Residential
Last Name, First, Middle Initial
Construction Type
Occupancy Group
TROOP, BOYD
Address
3136 S LEMAY AVE
City/State
FORT COLLINS, CO
p No. of Stories 0
O
Building Height 0
ZUj
3
1525-2841
Phone No. 206-9755
Building Square Footage Stock Plan/Options
p
r—nt R.thark
Rear Setback
■ .
6 9
Z
Right Side Setback Left
Side Setback
ZTO
SCHEDULE INSPECTIONS
2
(See reverse side for Inspection Description)
Plat File No.
ZBA Case Number
Zoning District
F M P
Subdivision/PUD
Filing
Q
wLot
Block
Lot Area O
Parcel No.
8730377001
OCompany
Name
Contractor License No.
Address
City/State
H
OPhone
Supervisor Cert. No.
V
Electrical
License No.
Mechanical
License No.
Roofing
License No.
H
License No.
OFraming
Plumbing
License No.
ca
N
DEER CREEK PLUMBING
MP-455
Concrete
License No.
INSTALL 40 GALLON 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 wW based on incorrect or incomplete information. This permit shall Vcornenull and void if the work authorized by such permit is not
co s , abandoned or inspected within 180 days fr d t f pA p it or from the date of the last inspection.
6
ri n e of owner/agent Sig re Date TOTAL FEES