HomeMy WebLinkAbout1854 Marlborough Ct - Permits/Water Heater - 02/26/2004Community Planning & Environmental Services
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Building & Inspections Division C ■�� � ■ ■ ■
P.O. Box 580 281 N. College Ave. -
Building Valuation
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Fort Collins, CO 80522-0580 - -- -- ---
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City of Pow Collins phone (970) 221-6760 Fax (970) 224-6134 B 0 4 0 0 9 6
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JOB SITE ADDRESS 1854 MARLBQROUGHCT
PERMIT DATE
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nit' Sales/Use Tax
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$6.UJI
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211261U1
PERMIT TYPE
WfRHTR Water Heater
PERMIT LEVEL
3SSU FUL
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CATEGORY TYPEInA
Residential
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Last Name, First, Middle Initial
Construction Type
Occupancy Group
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Address
City/State
p No. of Stories
Building Height
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FORT COLLINS. C
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Zip
Phone No.
Building Square Footage Stock Plan/Options
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80525-1538
221-1741
Front Setback
Rear Setback
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Right Side Setback
Left Side Setback
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Z
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(See revers-e side For Inspection Description)
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Plat File No. ZBA Case Number
Subdivision/PUD
Zoning District
Filing
a
wLot
Block Lot Area Parcel No.
0j249t)(17(1
Name Contractor License No.
-
OCompany
F
Q
Address City/State
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ZZ
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Phone Supervisor Cert. No.
V
Electrical License No.
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-
Mechanical
License No.
H
URoofing
-
License No.
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Framing
License No.
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Plumbing
License No.
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4r^. A9
Concrete
License No.
-
-
REPLACE 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 auther4zed by such -permit -is not - -- - - ---
commenced,
suspended, abandoned or inspected within 180 days m the date s ch permit or from the date of the last inspection.
name of owner/agent Signature Date
I TOTAL FEES
I $22.51
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