HomeMy WebLinkAbout2642 Michener Dr - Permits - 05/10/2004Community Planning & Environmental Services
Building & Inspections Division
P.O. 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 2642 MIC iENER DR
PERMITTYPE WTRHTR Water Heater PERMIT
Last�t �M;� rl�f'1 A
� MILLC.i 'If1�iV1
Z Addr42 MICHENER DR City/StateFORT COLLINS, CO
3
Zip 80526 Phone No. M-18M
Front Setback Rear Setback
0
Z_ Right Side Setback Left Side Setback
Z
2 Plat File No. ZBA Case Number Zoning District
BUILDING PERMIT
Building Valuation
B0402831
ACCOUNT
PERMIT DATE 05/ 10/2004 Building Permit w/o Subs
LEVEL ISSU_FUL CATEGORY TYPE Residential
Construction Type Occupancy Group
wp No. of Stories Building Height
0
Building Square Footage I Stock Plan/Options
0
_ Subdivision/PUD Filing
wQ nn n
Lot Block Lot Area Q Parcel No. n 1[ o Z L 5OOe J a
Ce Company Name I Contractor License No.
Address
w Mechanical
o ALLEN PL
Roofing
H
Z Framing
0
U
Plumbing
N
Concrete
I HEATING
INSTALL WATER HEATER
License No.
License No.
H 871
License No.
License No.
License No.
License No
(See reverse side for Inspection Description)
FNP
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.
$924.00
FEE DATE PAID
$15.0 5/10/04
Print name of owner/agent
Signature
Date
TOTAL FEES
$1