HomeMy WebLinkAbout2940 Rocky Mountain Way - Permits/Plumbing - 04/22/2003Community Planning & Environmental Services
BUILDING PERMIT
PERMIT FEES
Building & Inspections Division
zw)
P.O. Box 580 281 N. College Ave.
Building Valuation
Fort Collins, CO 80522-0580
City of Fort Collins phone (970) 221-6760 Fax (970) 224-6134 B 0 3 Q 1 9 9
ACCOUNT
FEE
DATE PAID
JOBSITE ADDRESS
PERMIT DATE
2940 ROCKY MOUNTAIN WAY
9
ui (ding Permit w/o Subs
$11.50
4/22/03
PERMIT TYPE
PERMIT LEVEL
CATEGORY TYPE
PLUM Plumbing Alteration
I ISSU FUL
I Residential
ity Sales/Use Tax
$13.65
4/22/03
Last Name, First, Middle Initial
Construction Type
Occupancy Group
ounty Sales/Use Tax
$3.64
4/22/03
w
Address
City/State
Wp No. of Stories
Building Height
O
Zip
Phone No.
U Building Square Footage Stock Plan/Options
80526
223-7339
Front Setback
Rear Setback
0
Z
Right Side Setback Left Side Setback
• • •
Z
0
Plat File No.
ZBA Case Number Zoning District
(See reverse side for Inspection Description)
RP 6 L F N P
_
Subdivision/PUD
Filing
Q
wLot
Block Lot Area
Parcel No.
J
0
Address City/State
Phone I Supervisor Cert. No.
Electrical
License No.
De
Mechanical
License No.
0
Roofing
License No.
H
Z
Framing
License No.
U
m
Plumbing
License No.
h
Concrete
License No.
GAS LINE INSTALLED FOR FIREPLACE
W
I —
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 t e date of such permit or from the date of the last inspection.
Print name of own I9 nat e Die TOTAL FEES
79