HomeMy WebLinkAbout1028 S Taft Hill Rd - Permits - 03/05/2003Community Planning & Environmental Services
Building & Inspections Division
Box 580 281 N. College Ave.
Fort Collins, CO 80522-0580
City of Fort Collins phone (970) 221-6760 Fax (970) 224-6134
JOB SITE ADDRESS 1028 S TAFT HILL RD
PERMITTYPE PE
REPLACE 40 GALLON GAS WATER HEATER
R
Wp No. of Stories Building Height
CO o 0 0
Building Square Footage I Stock Plan/Options
(See reverse side for Inspection Description)
FNP
078
FEE I DATE PAID
$15.00 3/5/03
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, sus p de bandone or inspected within 180 days from the date of such permit or from the date of the last inspection.
3—&-03
Print name of owner/agent Signature Date TOTAL FEES $15.00