HomeMy WebLinkAbout1954 Connecticut Dr - Permits/Water Heater - 08/04/2005—..... .. �, � —.....b w ,..,.....,,...��.,�.�u� ...,.� . �..�J BUILDING PERMIT ..
Building & Inspections Division
P(KA�l .O. Box 580 281 N. College Ave. Building Valuation
Fort Collins, CO 80522-0580
City of Fort Collins phone (970) 221-6760 Fax (970) 224-6134 B 0 5 0 4 `21
ACCOUNT
JOB SITE ADDRESS PERMIT DATE
PERMIT TYPE 1a5�t CONNECT!CUTDR -u7. /r,,, /->n�,!� q;;;!u;rg Permit �;;c Subs
PERMIT LEVEL CATEGORY TYPE
WTRHTR Water Heater tSSU l=UL Residential
Last Name, First, Middle Initial Construction Type Occupancy Group
w Address i City/State O No. of Stories Building Height
1954
T DR FORT COLLINS, CO
ZIP V
80525 377-0978 Phone No. Building Square Footage Stock Plan/Options
Front Setback Rear Setback , •
0
Z_ Right Side Setback Left Side Setback ' • • •
Z
Plat File No. ZBA Case Number Zoning District (See reverse side for Inspection Description)
J Subdivision/PUD Filing f N P
Q
wLot Block Lot Area Parcel No.
Company Name Contractor License No.
Address City/State
Phone Sunervicnr Cart Nn
License No.
a' mecnar
17-1
FEE DATE PAID
$115,0 C 8/4105
Roofing License No.
H
Z Framing License No.
V
00 Plumbing License No.
H el; i i9n HEATING n
Concrete License No.
INSTALL 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.
Print name of owner/agent Signature Date TOTAL FEES $15