HomeMy WebLinkAbout720 City Park Ave - Permits - 03/17/2004Community Planning & Environmental Services
Building & Inspections Division
i 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 720 CITY PARK AVE D430
PERMIT TYPE PERMIT
VbTRHTR Water Heater
Last Name, First, Middle Initial
� DIAMLVYv. IViHI i rIGVY
W Address City/State
Z
3 720 CITY PARK AVE #13430 FORT Ct
O Zip Phone No.
80525 416-6955
Z_ Right Side Setback Left Side Setback
Z
NPlat File No. ZBA Case Number Zoning District
Subdivision/PUD Filing
J
Q
wLot Block Lot Area Parcel No.
J
`) 7 1
� Company Name Contractor License No.
Address City/State
Phone Sunervisor Cert. No.
Electrical I License No.
BUILDING PERMIT
y Building Valuation
B0401390
ACCOUNT
PERMIT DATE ,I
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LEVEL CATEGORY TYPE
ISSU_FUL Residential City Sales/Use Tax
Construction Type Occupancy Group
County Sales/Use Tax
�p No. of Stories Building Height
O
V Building Square Footage I Stock Plan/Options
jX
Mechanical
License No.
O
H
JRoofing
H
License No.
License No.
OFraming
U
m
Plumbing
License No.
N
Concrete
License No.
REPLACE WATER HEATER
(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 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 TOTAL FEES
FEE I DATE PAID
$15.0 3/17/04
$4.5 3/17/04
$1.231117/04
$20.