HomeMy WebLinkAbout2936 Southmoor Dr - Permits - 05/15/2003s o Community Planning &Environmental Services
iWre,
Building & Inspections Division BUILDING PERMITPERMIT
FEES
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 Bi Q 3 0 2 6 6 3
ACCOUNT
FEE
DATE PAID
JOB SITE ADDRESS2936 SOUTHMOOR DR PERMIT DATE
PERMIT TYPE 05/ 15/2003
uilding Permit w/o Subs
$15.00
5/15/03
PERMIT LEVEL CATEGORY TYPE
WTRHTR Water Heater ISSU_FUL Residential
ity Sales/Use Tax
$4.50
5/15/03
Last Name, First, Middle Initial
BRYANT, W MICHAEL
Construction Type
Occupancy Group
Z
Address
LL,
ount Sales/Use Tax
y
$1.20
5/15/03
p No. of Stories
O
Building Height
3
2936 SOUTHMOOR DR city/state
FORT COLLINS, CO
O
Zip�25-22� 6 Phone No.
204-1621
V
Building Square Footage Stock Plan/Options
Front Setback
Rear Setback
Z
Z
• •
Right Side Setback Left Side Setback
Plat File No.
ZBA Case Number Zoning District
(See reverse sidefor Inspection Description)
F N P
J
Subdivision/PUD
Filing
wLot
Block Lot Area
Parcel No.
O
9725105013
0C
Company Name Contractor License No.
Address City/State
0
Phone Supervisor Cert. No.
U
Electrical
License No.
OMechanical
License No.
Roofing
License No.
F-
OFraming
License No.
V
50
D
Plumbing
License No.
rn
Concrete
License No.
WATER HEATER REPLACEMENT
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 dilate/of such permit or from the date of the last inspection.
TOTAL FEES
$20 70
Print name of owner/agent Signature Date