HomeMy WebLinkAbout1040 S Taft Hill Rd - Permits - 03/01/2004Community Planning & Environmental Services
a 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 ADDRESS 1040 S TAFT HILL RD
PERMIT TYPE PER
U/TRHTR Water Heater
Last Name, First, Middle Initial
LICHTENWALDT, HENRY
Z Address City/State
3 1040 S TAFT HILL RD FORT COLLINS, ;
0 zip Phone Na.
80521-4223 731.90
0
_Z Right Side Setback Left Side Setback
Z
Plat File No. ZBA Case Number Zoning District
_ Subdivision/PUD Filing
Q
wLot Block Lot Area Parcel No.
93,1530510
ce
A Company Name Contractor License No.
Address City/State
H
Z
Phone Supervisor Cert. No.
V
Electrical
License No.
License No.
OMechanical
rJ
Roofing
License No.
H
Z
Framing
License No.
V
Plumbing
License No.
V) I
A! i F N nl 11mal NC HE Ti In
Concrete I
License No.
WATER HEATER
BUILDING PERMIT
Building Valuation
B0400713 ACCOUNT
PERMIT DATE
r�•i II� a r�;�+ a �
.EVEL CATEGORY TYPE
ESSU_FUL Residential
Construction Type Occupancy Group
p No. of Stories Building Height
OBuilding Square Footage Stock Plan/Options
(See reverse side for Inspection Description)
Fhb'
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.
FEE DATE PAID
Nrint name of owner/agent
Signature
Date
TOTAL FEES
S1