HomeMy WebLinkAbout519 Maple St - Permits/Water Heater - 01/22/2004Community Planning & Environmental Services
Building & Inspections Division
P.O. Box 580 281 N. College Ave.
Fort Collins, CO 80522-0580
City ofFort cons Phone (970) 221-6760 Fax (970) 224-6134
JOB SITE ADDRESS 519 MAPLE ST
PERMIT TYPE PER
WTRHTR Water Heater
Last Name, First, Middle Initial
Y
Z Address City/State
3
Zip Phone No.
80521-2020 482-2467
Front Setback Rear Setback
0
Z_ Right Side Setback Left Side Setback
Z
Plat File No. ZBA Case Number Zoning District
Q1 1
,
w I Lot Block Lot Area Parcel No.
J
Q
Address
City/State
f—
Z
0
Phone
Supervisor Cert. No.
V
Electrical
License No.
0�
Mechanical
License No.
0
F
Roofing
License No.
Z
Framing
License No.
0
V
ca
Plumbing
License No.
H
Concrete
License No.
INSTALL 40 GALLON GAS HOT %1VATER HEATER
BUILDING PERMIT
Building Valuation
B0400346 ACCOUNT
PERMIT DATE
0 "1 Z22 2004 Building Permit w/o Subs
EVEL CATEGORY TYPE
ISSN FUL Residential
Construction Type Occupancy Group
Wp No. of Stories Building Height
0
Building Square Footage I Stock Plan/Options
(See reverse side for Inspection Description)
FNP
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.
FEE DATE PAID[
I I/LL/VY
Print name of owner/agent
Signature
Date
TOTAL FEES
$1