HomeMy WebLinkAbout2455 Montmorency St - Permits/Water Heater - 12/05/2003Community Planning &Environmental Services BUILDING PERMITPERMIT
Building & Inspections Division
FEES
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P.O. Box 580 281 N. College Ave.
Building Valuation
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Fort Collins, CO 80522-0580
City of Fort Collins
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phone (970) 221-6760 Fax (970) 224-6134 B 0 3 0 7 6 7 6
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ACCOUNT
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DATE PAID
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SITE ADDRESS 2455 MONTMORENCY ST
PERMIT DATE s i t c, �
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Permit Su��
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PERMITTYPE
WTRHTR Water Heater
PERMIT LEVEL
ISSU_FUL
CATEGORY TYPE
Residential
Last Name, First, Middle Initial
SMITH, MICKEY L
Construction Type
Occupancy Group
3
Address
2455 MONTMORENCY ST
City/State
FORT COLLINS, CO
p No. of Stories
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Building Height
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Zip Phone
80526-5803
No.
224-9651
Building Square Footage
Stock Plan/Options
0
Front Setback Rear
Setback
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0
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Right Side Setback Left Side Setback
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Plat File No.
ZBA Case Number Zoning District
(See reverse side for Inspection Description)
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Subdivision/PUD
Filing
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Block Lot Area
Parcel No.
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OCompany
Name Contractor
License No.
Address City/State
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Phone
Supervisor Cert. No.
Electrical
License No.
Mechanical
License No.
G
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H 837
Roofing
License No.
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Framing
License No.
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Plumbing
License No.
Concrete
License No.
REPLACE HOT WATER HEATER
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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
Signature
Date
TOTAL FEES 1 $1