HomeMy WebLinkAbout3412 Camelot Dr - Permits/Water Heater - 04/24/2003Community Planning &Environmental Services
Building & Inspections Division BUILDING PERMITPERMIT
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 B0301856
$731.90
ACCOUNT
FEE
DATE PAID
JOB SITE ADDRESS3412 CAMELOT DR PERMIT DATE
04/24/2003
PERMIT TYPE
Building Permit w/o Subs
$15.00
4/24/03
PERMIT LEVEL CATEGORY TYPE
WTRHTR Water Heater ISSU_FUL Residential
Last Name, FirstLOR , Middle Initial
ItAYMICHAEL H Construction Type Occupancy Group
Address
3412 C�4MELOT DR City/State p No. of Stories Building Height
FORT COLLINS, CO O
Ziq�O525-2814 Phone No. V Building Square Footage Stock Plan/Options
iS 567-4958
Front Setback Rear Setback 0
Z_
Z
Right Side Setback Left Side Setback • •
2
Plat File No.
ZBA Case Number Zoning District
(See reverse side for Inspection Description)
Subdivision/PUD Filing F N P
Q
wLot
Block Lot Area O Parcel No.
9725407101
Company Name Contractor License No.
Q
Address City/State
H
Z
Phone Supervisor Cert. No.
V
Electrical License No.
OMechanical
License No.
Roofing License No.
F—
Z
Framing License No.
cQ
Plumbing License No.
ALIEN PLUMBING I HEATING MP-4
Concrete License No.
REPLACE WATER HEATER
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
herein. I agree to comply with all City ordinances, and State laws associated
As a
described
event
with such work. I understand that such permit may be revoked in the
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 data.of such permit or from the date of the last inspection.
M,"A- 2
name of owner/agent
--r—$15.00
Print
Signature Date --TOTAL FEES