HomeMy WebLinkAbout124 S Bryan Ave - Permits/Water Heater - 02/19/2004Community Planning & Environmental ServicesPERMIT
BUILDINGPERMIT
-----------------------
FEES
Building & Inspections Division
P.O. Box 580 281 N. College Ave.
Building Valuation
Fort Collins, CO 80522-0580
Citvo€ Fort Coin phone (970) 221-6760 Fax (970) 224-6134 J 1ton
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ACCOUNT
FEE
[SATE pA D
JOB
SITE ADDRESS
PERMIT DATE
124 S BRYAN AVE #F3
02/19/2004
Building Permit a/o Subs
$ 15.0
2/ 19{04
PERMIT
TYPE
WTRHTR Water Heater
PERMIT LEVEL
ISSU FUL
CATEGORY TYPE
Residential
Last Name, First, Middle Initial
Construction Type
Occupancy Group
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Z
Address Ci /StateUj
ry
in
No. of Stories
Building Height
O
O
zip Phone
No.
Building Square Footage Stock Plan/Options
59715
4W-585-7885
Front Setback Rear Setback
,
Right Side Setback Left Side Setback
Z_
Z
Plat File No. ZBA
Case Number Zoning District
Subdivision/PLID Filing
(See reverse side for Inspection Description)
FMP
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Lot Block Lot Area Parcel No.
Name Contractor License No.
OCompany
QAddress
City/State
t—
Z
Phone Supervisor Cent. No.
V
Electrical License No.
ocMechanical
License No.
Roofing
License No.
t—
Framing
License No.
ZZ
V
cQ
Plumbing
License No.
*GR
Con r e
License No.
REPLACE WATER HEATER
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 owner/agent
Signature Date