HomeMy WebLinkAbout3319 Oregon Trl - Permits - 06/29/2004Planning & Environmental Services
BUILDING PERMIT
PERMIT
FEES
Building & Inspections Division
imCommunity
P.O. Box 580 281 N. College Ave._
Building Valuation
Fort Collins, CO 80522-0580
city Of Port collies Phone (970) 221-6760 Fax (970) 224-6134
B0404148
0 00
JOB SITE ADDRESS 3319 oREGONTRL
PERMIT DATE 06/29/2004
Buililliq Permit w/o Subs
1
$15.0
. !
6/29/04
/
PERMIT TYPE
WiRHTR Water Heater
PERMIT LEVEL
ISSU FUL
CATEGORY TYPE
PASkiertt al
Last Name, First, Middle Initial
BLEHM, DAVID R
w Address
3319 OREGON TR
o Zip 80526
0
(ZZZ� Right Side Setback
N Plat File No.
Subdivision/PUD
Lot
Address
Constructlor
City/State FNo. of StorieFORT OOLUNS, co 0
Phone No. 218-9= V Building Sqi
Left
ZBA Case Number I Zoning District
Block Lot Area 0 I Paroel No. 9727419025
fkkQ- Mechanical License No.
Roofing License No.
Framing License No.
V
j Plumbing License No.
DEER CREEK PLUMBING P 455
Concrete License No.
INSTALL 50 GALLON GAS WATER HEATER
See reverse side
FNP
Group
Gmty Sales/Use Tax
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.
$1.21 6/29/041
Print name of owner/agent
Date