HomeMy WebLinkAbout1118 City Park Ave - Permits/Water Heater - 05/19/2003Community Planning & Environmental Services mmmmmmm
BUILDING PERMIT
PERMIT
Building & Inspections Division
ei'50�
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 gi 0 3 0 2 5 2 0
ACCOUNT
FEE
DATE PAID
JOB
SITE ADDRESS1118 CITY PARK AVE
PERMIT DATE
I 05/ 19/2003
uilding Permit w/o Subs
$15.00
5/19/03
PERMIT
TYPE
WTRHTR Water Heater
PERMIT LEVEL
ISSU_FUL
CATEGORY TYPE
I Residential
Last Name, First, Middle Initial
Construction Type
Occupancy Group
o<
AHLERS, JIM UJANEE L
Z
Address
City/State
p No. of Stories
Building Height
3
2220 FRANKLIN RD
FORT COLLINS, CO
0
Zip
Phone No.
Building Squ"FootageStockPlan/Options80524-1525
Front Setback
Rear Setback
Right Side Setback
Left Side SetbackZ
0
Z
••
2
(See reverse side for Inspection Description)
Plat File No. ZBA Case Number
Zoning District
Subdivision/PUD
Filing
F N P
_
Q
wLot
Block Lot Area Parcel No.
0 9715432001
Company Name Contractor License No.
O'
Q
Address City/State
dt—
Z
0
Phone Supervisor Cert. No.
Electrical License No.
Mechanical
License No.
d
Roofing
License No.
H
Z
Framing
License No.
0
m
-
Plumbing
License No.
N
Concrete
License No.
REPLACE 50 GALLON ELECTRIC WATER HEATER
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 Signature Date
TOTAL FEES
$15.00
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