HomeMy WebLinkAbout824 Kimball Rd - Permits/Water Heater - 08/13/2004Community Planning &Environmental Services BUILDING P E RM I T
Building & Inspections Division
P.O. Box 580 281 N. College Ave. Building valuation
CityaE.Fort enitiins Fort Collins, CO 80522-0580
Phone (970) 221-6760 Fax (970) 224-6134 04
04838 ACCOUNT
JOB SITE ADDRESS a24 K MBALL PERMIT DATE
PERMITTYPE CATEGORY TYPE BuildingPermit r+
PERMIT LEVEL I
Last Name, First, Middle Initial Construction Type Occupancy Group
W Address
w
City/State
in No. of Stories Building Height
Zip
Phone No.
O Building Square Footage Stock Plan/Options
Front Setback
Rear Setback
AZ Right Side Setback
1*4 Plat File No.
Left Side Setback
28A Case Number Zoning District
(See reverse side for Inspection Description)
F a P
Subdivision/PUD
Filing
Lot Block Lot Area Parcel No.
OCompany Name
Contractor Licensee No.
QAddress
City/State
_.
License No.
OMechanical
License No.
t3
R
License No.
Framing
License No,
(�
Plumbing
License No.
N
Concrete
License No.
REPLACE GAS WATER HEATER I
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 d void if the work authorized by such permit is not
commenced, suspended, abandoned or inspected within 180 days from the date of ch permit e date of the last inspection.
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