HomeMy WebLinkAbout640 Monte Vista Ave - 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 of Fort Collins phone (970) 221-6760 Fax (970) 224-6134
JOB SITE ADDRESS 640 MONTE VISTA AVE
PERMITTYPE PEF
WTRHTR Water Heater
Last Name, First, Middle Initial
w Z Address City/State
3640 MONTE VISTA AVE FORT COLLINS,s
O zip I Phone No.
0
Z_ Right Side Setback
Z
Plat File No.
Subdivision/PUD
Q
w Lot
J
Address
Electrical
Block I Lot Area
L
Rear Setback
Left Side Setback
Filing
Contractor License No.
City/State
BUILDING PERMIT
Building Valuation
B0400298 ACCOUNT
PERMIT DATE
I '22/' 004 hi1diing Permit w/o Subs
.EVEL CATEGORY TYPE
ISSU-FU L Residential
Construction Type Occupancy Group
LU
in No. of Stories Building Height
O
V
Building Square Footage Stock Plan/Options
jX
Mechanical
License No.
O
H
H
Roofing
License No.
License No.
OFraming
V
m
Plumbing
License No.
N
f1❑ !I n C TT n
Mfl 1 7
Condre a
License No.
REPLACE 40 GALLON GAS WATER HEATER
(See reverse side for Inspection Description)
t'MP
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 I DATE PAID
sr, n j Inn /U,i
I J.V (LC/ •t
name of owner/agent
Signature
Date
TOTAL FEES