HomeMy WebLinkAbout508 Peterson St - Permits/Water Heater - 08/14/2003Community Planning & Environmental Services
Building & Inspections Division
- P.O. Box 580 281 N. College Ave.
Fort Collins, CO 80522-0580
CityofFortCollins phone (970) 221-6760 Fax (970) 224-6134
JOB SITE ADDRESS5os PETERSON ST
PERMIT TYPE PER
WTRHTR Water Heater
Last Name, First, Middle Initial
oe MUMMERY ORPHEA
LU
Z Address
City State
3 508 PETERSON ST FORT COLLINS CC
Zip Phone No.
80524-3136 482-s466
Front Setback Rear Setback
Z Right Side Setback Left Side Setback
Z
2 Plat File No. ZBA Case Number Zoning District
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w I Lot Block Lot Area Parcel No.
0 1 Q
Address I City/State
BUILDING PERMIT
Building Valuation
B0305395 ACCOUNT
PERMIT DATE
vU I 14 j 2'00 `'i 30Idling P2rm'It w/o Subs
LEVEL CATEGORY TYPE
ISSU_FUL Residential
Construction Type Occupancy Group
p No. of Stories Building Height
O
U Building Square Footage I Stock Plan/Options
oe
Mechanical
License No.
0
Roofing
License No.
H
OFraming
License No.
U
m
Plumbing
License No.
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aiiru niuunrun a nrArron
un .
REPLACE WATER HEATER AND ADD CHIMNEY LINER
8
(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. T ' rmit shall become nu and void if the work authorized by such permit is not
commenced, suspended, abandoned or inspected within 180 days fr the a o such permi rom the date of the last inspection.
0-
Print name of owner/agent ture Da
TOTAL FEES
FEE DATE PAID
$30.00 8/14J03