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1024 E Swallow Rd - Permits/Water Heater - 09/04/2009
of F6rtll' Site Address: 1024E SWALLOW RD, A 134 Job Valuation: $764.00 Category: Residential Owner: BRIDGEMAN, YVONNE MARIE 1024 E SWALLOW RD UNIT Al34 FORT COLLINS, CO 80525 Zoning: Front setback: Rear setback: Zoning district: MMN Plat File #: Legal: Subdivision/PUD: Code: Res sq ft: Com sq ft: # of stories: Occ Group: Stock plan #: Contractor: WORKMAN PLUMBING SERVICES, INC PO BOX 794, 929 SILVERLEAF PL LOVELAND, CO 80539 Subcontractor(s)- --, Plumbing: -WORKMAN PLUMBING SERVICES, Neighborhood & Building Services 281 N. College Ave. Fort Collins, CO 80522-o58o Phone:970-221-676o Fax:970-224-6134 BUILDING PERMIT #: B0905392 Issued Full: 09/04/2009 Permit Type: Residential Water Heater Phone: 227-9078 Right setback: ZBA Case #: Filing #: Lot #: Ind sq ft: Const Type: Stock plan options: License #: MP-673 Left setback: Minor Amend #: Block #: Basement sq ft: Supervisor cert #: Phone: 970-308-9796 w_e Work Description: WATER HEATER REPLACEMENT_. ** SCHEDULE INSPECTIONS *** By Phone: 221-6769 *** By Web: http://aaweb.fcgov.com/CitizenAccess** Inspections: FNP FNE FNM TOTAL FEES PAID AS OF 09/04/09 $29.52 Payment method: Credit Card " Fee Detail Displayed on Next Page As a condition for the issuance of a permit, I hereby declare that I am the owner or owners agent, authorized to perform the proposed work on the property described herein. I agree to comply with all the requirements contained herein, and 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 information. This permit shall become null and void if the work authorized by such permit is not commenced, suspended, abandoned or not inspected within 180 days from the date of such permit. Signature: Print Name: , �/,a�l ��Date: g 01/_©3 Form Revised Oct 2 �' City of F6rt Collins Neighborhood & Building Services 281 N. College Ave. Fort Collins, CO 80522-058o Phone:970-221-676o Fax:970-224-6134 BUILDING PERMIT #: B0905392 Issued Full: 09/04/2009 Permit Type: Residential Water Heater Site Address: 1024E SWALLOW RD, A 134 Job Valuation: $764.00 Category: Residential Transactions Method Check Number Date Paid Amount Paid Comments Credit Card 09/04/2009 $29.52 WORKMAN CC Receipt issued: 09/04/2009 Total Paid to Date: $29.52 Fee Description Account Code Fee Amount Amount Paid Date Paid Amount Due City Sales/Use Tax 251.122030 $11.46 $11.46 09/04/2009 $0.00 County Sales/Use Tax 100.217030 $3.06 $3.06 09/04/2009 $0.00 Permit Flat Fee w/o Subs $15 1000.422010 $15.00 $15.00 09/04/2009 $0.00 TOTAL FEES: $29.52 $29.52 $0.00 Fee Amounts are valid for date of this document only. Fees subject to change without notice.