HomeMy WebLinkAbout1408 W Mountain Ave - Permits/Water Heater - 06/25/2003� ¢� Community Planning &Environmental Services � � � � � � � � � � �� � �PERMIT
��'� Building & Inspections Division
*� P.O. Box 580 281 N. College Ave.
Building Valuation
Fort Collins, CO 80522-0580
SS
City of Fort Collins phone (970) 221-6760 Fax (970) 224-6134 gi 0 3 0 3 9 1 4
ACCOUNT
FEE
DATE PAID
JOB
SITE ADDRESS1408 WMOUNTAIN AVE
PERMIT DATE06/25/2003
I
luilding Permit w/o Subs
$15.00
6/25/03
PERMIT
TYPE
WTRHTR Water Heater
PERMIT LEVEL
ISSU_FUL
CATEGORY TYPE
I Residential
Last Name, First, Middle Initial
Construction Type
Occupancy Group
DERINGER, MICHAELMNA
Address
City/State
in No. of Stories
Building Height
ZLU
3
1408 W MOUNTAIN AVE
FORT COLLINS. CO
IJ 0
0
Zip
Phone No.
Building Square Footage Stock Plan/Options
80521-2306
498-0157
Front Setback
Rear Setback
Right Side Setback
Left Side Setback
• • •
0
Z
Z
1
• •
(See reverse side For Inspection Description)
F N P
Plat File No. ZBA Case Number
Subdivision/PUD
Zoning District
Filing
_
Q
wLot
Block Lot Area Parcel No.
J
0 9710411002
Name Contractor License No.
OCompany
Address City/State
H
Z
Phone Supervisor Cert. No.
V
Electrical License No.
ce
Mechanical
License No.
Roofing
License No.
H
Z
Framing
License No.
V
m
Plumbing
License No.
tq
HAHN 2111HRING A HEATING
MP-15
Concrete
License No.
INSTAL 40 GALLON GAS 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.
1
T—r 5 1�,c l4 - •2 S- C✓_�
name of owner/agent ignature Date
TOTAL FEES
$15.00
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