HomeMy WebLinkAbout3603 Jaguar Pl - Permits/Water Heater - 04/15/2004Community Planning & Environmental Services
Building & Inspections Division
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 3603 JAGUAR PL
PERMIT TYPE PER
1A/TRHTR !Hater Heater
Last Name, First, Middle Initial
� SULIK, PATRICIA L
Z Address City/State
3 3603 JAGUAR PL FORT COLLINS,
U Zip Phone No.
80525-3523 226-4109
BUILDING PERMIT
Building Valuation
B0308088
ACCOUNT
PERMIT DATE F;.),_�.._.: G,:IA:., -i ! C i.
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MIT LEVEL CATEGORY TYPE
ISSU FUL Resiaertial
Construction Type Occupancy Group
p No. of Stories Building Height
CO 0
Building Square Footage Stock Plan/Options
rr
Front Setback Rear Setback
0
Z Right Side Setback Left Side Setback
Z
Plat File No. ZBA Case Number Zoning District
Subdivision/PLID Filing
J
Q
Lu w Lot Block Lot Area 4 Parcel No.
5732n0En..Un3 L J
a' Companv Name I Contractor License No.
OPhone
Supervisor Cert. No.
U
Electrical
License No.
Q'
Mechanical
License No.
0
Roofing
License No,
H
Z
Framing
License No.
U
m
Plumbing
License No.
N
e,^c;LTa.ry &
sa;:
Concrete
License No.
REPLACE 40 GALLON GAS WATER HEATER
w
H
(See reverse side for Inspection Description)
F N P
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.
$500.00
FEE DATE PAID
$15.0 4/1/ la
Print name of owner/agent
Signature
Date
TOTAL FEES
$1