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HomeMy WebLinkAbout855 Sandy Cove Ln - Permits - 05/21/2003Community Planning &Environmental Services BUILDING PERMIT PERMIT FEES 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 B 0 3 0 2 7 5 4 ACCOUNT FEE DATE PAID JOB SITE ADDRESSgSANDY COVE PERMIT DATE55 05 21 3 3uilding Permit a/o Subs $15.00 5/21/03 PERMIT TYPE WTRHTR Water Heater PERMIT LEVEL ISSU FUL CATEGORY TYPE I Residential Last Name, First, Middle Initial Construction Type Occupancy Group TURNER RONNY E/JO ELLA Address City/State Wp No. of Stories Building Height u.l 3 855 SANDY COVE LN I FORT COLLINS,u Zip Phone No. Building Square Footage Stock Plan/Options 80525-3M 223-9541 Front Setback Rear Setback , • • Z Right Side Setback Left Side Setback Z (See reverse side for Inspection Description) F N P Plat File No. ZBA Case Number Zoning District Subdivision/PLID Filing _ Q wLot Block Lot Area Parcel No. J 0 9736409030 OCompany Name Contractor License No. V Address City/State Z Z Phone Supervisor Cert. No. V Electrical License No. Mechanical License No. Roofing License No. H License No. OFraming V m n Plumbing License No. Q1 Concrete License No. WATER HEATER REPLACEMENT LU 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. Print name of owner/agent Signature Date TOTAL FEES $15,00