HomeMy WebLinkAbout1404 E Pitkin St - Permits - 04/22/2003Community 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 ADDRESS1404 E PITKIN ST
PERMIT TYPE PER
WTRHTR Water Heater
Last Name, First, Middle Initial
KC ryjO
LU
3ZAddress
City/State
0 ZIP I Phone No.
0
_Z
Right Side Setback Left
Side Setback
Z
2
Plat File No.
ZBA Case Number
Zoning Dh
J
Subdivision/PUD
Filing
a
wLot
Block Lot Area
Parcel No.
J
0
OCompany
Name
Contractor License No.
Address
City/State
H
Z
Phone
Supervisor Cert. No.
U
Electrical
License No.
W
Mechanical
License No.
0
Roofing
License No.
F—
OFraming
License No.
U
m
Plumbing
License No.
N
_
Concrete
License No.
NEW WATER HEATER INSTALLATION
BUILDING PERMIT
Building Valuation
B0302000 iACCOUNT
CATEGORY TYPE
SU FUL Residential
Construction Type Occupancy Group
Wp No. of Stories Building Height
U 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 infor I mit shall come null an o' if the work authorized by such permit is not
ence , sus ended, abandoned or inspected within 1 ays from ate of permit or from of the last inspection.
rint name of owner/agent Signature Date TOTAL FEES
FEE I DATE PAID'