HomeMy WebLinkAbout807 Kimball Rd - Permits/Water Heater - 11/25/2003Community Planning & Environmental Services BUILDING PERPERMIT
FEES
Building & Inspections Division
g P.O. Box 580 281 N. College Ave.
soilding valuation
Fort Collins, CO 80522-05800
City of P� art phone (970) 221-6760 Fax (970) 224-6134 EB a 3I Q 7 6 4
000
ACCOUNT
FEE
DATE PAID
JOB
SITE ADDRESS 807 KIMBALLRD
PERMIT DATE/2> n
5/200
Bui11 og Permit w/o Subs
City Sales/Use Tax
$15.
$4.5
9
11/25/03
11/25/03
PERMIT
TYPE
WTRHTR Water Heater
PERMIT LEVEL
ISSU_FUL
CATEGORY TYPE
Residential
Last Name, First, Middle Initial
Construction Type
Occupancy Group
WILLMAN. AMY
County Sales/Use Tax
$1.2
11/25/01
Z
Address
City/State
p No. of Stories
Building Height
3
807 KIMBALL RD
FORT COLLINS. CO
O
O
Zip
80521-3046
Phone No.
218-1412
V Builtling Square Footage Stock Plan/Options
Front Setback
Rear Setback
' , •
Z
Right Sitle Setback Leh Side Setback
Z
2
�
Plat File No. ZBA case Number zoning District
Subdivision/PUD Filing
(See reverse side for Inspection Description)
f Id P
Ll
Lot Block Lot Area Parcel No.
0 0716217020
Company Name Contractor License No.
O
eAtltlress
City/State
ZPhone
Supervisor Cert. No.
V
Electrical License No.
m
Mechanical
License No.
Roofing
License No.
H
Z
0
Framing
License No.
D
Plumbing License
No.
N
pFFn
Concrete License
No.
INSTALL 50 GALLON GAS WATER HEATER
L
541
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 w@s based on incorrect or incomplete information. This permit shall become null and void if the work authorized by such permit is not
commennceed,
susp ad, andoned 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
Print
TOTAL FEES
$P0 7