HomeMy WebLinkAbout1032 Luke St - Permits/Water Heater - 05/16/2003Community Planning &Environmental Services BUILDING PERMITPERMIT FEES
M.
Building & Inspections Division
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 B0302726
ACCOUNT FEE RATE PAID
JOB SITE ADDRESS1032 LUKEST PERMIT DATE 0r� 16 2003 wilding Permit w/o Subs $15.00 5/16/03
PERMIT TYPE PERMIT LEVEL CATEGORY TYPE
WTRHTR Water Heater ISSU_FUL Residential
Last Name, First, Middle Initial Construction Type Occupancy Group
W
BRIGGS DON
Z Address City/State Wp No. of Stories Building Height
3 1032 LUKE ST FORT COLLINS CO O
O ZipU
Phone No. Building Square Footage Stock Plan/Options
80524AO37 482-1156
Front Setback Rear Setback
•
Z Right Side Setback Left Side Setback • • •
Z
2 Plat File No. ZBA Case Number Zoning District (See reverse side for Inspection Description)
J Subdivision/PLID Filing F N P
wLot Block Lot Area Parcel No.
0 8718311011
OCompany Name Contractor License No.
U
Address City/State
OPhone Supervisor Cert. No.
U
Electrical License No.
OMechanical License No.
Roofing License No.
OFraming License No.
U
ca
Plumbing License No.
N
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 date of such ermit or from the date of the last inspection.
t name of ownedagen c �Qgnre Date TOTAL FEES $15Afi