HomeMy WebLinkAbout3501 Kingston Cir - Permits/Plumbing - 04/08/2004Community Planning &Environmental Services BUILDING PERMITPERMIT
FEE5
Building & Inspections Division
40
P.O. Box 580 281 N. College Ave.
Building Valuation
i Fort Collins, CO 80522-0580
City of Fort Collins phone (970) 221-6760 Fax (970) 224-6134 B 0 4 01 9 8 0
ACCOUNT
FEE
DATE PAID
JOB
SITE ADDRESS
PERMIT DATE
3501 KINGSTONCIR
Q4 08 2C1� +
Bull ding Pewit w/o Subs
�15.0
4/8/04
PERMIT
TYPE
PERMIT LEVEL
CATEGORY TYPE
PLUM Plumbing Alteration
ISSU FUL
Residential
Last Name, First, Middle Initial
Construction Type
Occupancy Group
BIBLES ERIN
w
Address
City/State
Wp No. of Stories
Building Height
3501 KINGSTON CR
FORT COLLINS CO
O
O
Zip
Phone No.
V Building Square Footage Stock Plan/Options
80525
420-6217
Front Setback Rear Setback
Right Side Setback Left Side Setback
• • •
Z
Z
Plat File No. ZBA Case Number Zoning District
Subdivision/PUD Filing
(See reverse side for Inspection Description)
n p u i F ii P
a
Block Lot Area Parcel No.
wLot
J
08725401083
Name Contractor License No.
OCompany
V
Q
Address City/State
Z
Phone Supervisor Cert. No.
V
Electrical License No.
0
Mechanical
License No.
F—
Roofing
Framing
License No.
License No.
Z
V
m
0
Plumbing
License No.
LOL-EVANIS
PHIMUNIC, A HFATI.Cfl
µR
Concrete
License No.
RUN GAS LINE TO RANGE AND DRYER
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.
name of owner/agent Sig Date
Print
TOTAL FEES
$15.0