HomeMy WebLinkAbout204 2nd St - Permits/Water Heater - 09/29/2009City of
F6rt Collins
Site Address: 204 2ND ST
Job Valuation: $1,348.00 Category: Residential
Owner: CASTILLO, JACOB
204 2ND ST
FORT COLLINS, CO 80524
Zoning: Front setback: Rear setback:
Zoning district: RL Plat File #:
Legal: Subdivision/PUD:
Neighborhood & Building Services
281 N. College Ave. Fort Collins, CO 80522-o58o
Phone:970-221-676o Fax:970-224-6134
BUILDING PERMIT #: B0905607
Issued Full: 09/29/2009
Permit Type: Residential Water Heater
Phone: 970-222-2384
Right setback
ZBA Case #:
Filing #:
Code: Res sq ft: Com sq ft: Ind sq ft:
# of stories: Occ Group: Const Type:
Stock plan #: Stock plan options:
Contractor: BEN FRANKLIN PLBG/NO COLO
1833 E. HARMONY RD. STE 2
FORT COLLINS, CO 80528
Subcontractors)--- _ --- -LL,
Plumbing: BEN FRANKLIN PLBG/NO COLO
Work Description: INSTALLED WATER HEATER
License #: MP-598
Left setback:
Minor Amend #:
Lot #: Block #:
Basement sq ft:
Phone: 970-488-2419
Supervisor cert #:
"SCHEDULE INSPECTIONS *** By Phone: 221-6769 ***By Web: http://aaweb.fcgov.com/CitizenAccess**
Inspections: FNP FNE FNM
TOTAL FEES PAID AS OF 09/29/09 $40.61 Payment method: Trust Account
'* 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:
Form Revised Oct 2008
Date:
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C'*" O� Neighborhood&Building Seruices
�r � 28i N. College Ave. Fort Collins, CO So522-0580
FO�� �0��'�� Phone: 970-221-6�6o Fax: 970-224-6i34
""'� BUILDING PERMIT #: B0905607
Issued Full: 09/29/2009
Permit Type: Residential Water Heater
:� Site Address: 204 2ND ST
'� Job Valuation: 1 348.00 Category: Residential
��� Transactions
` Method Check Number Date Paid Amount Paid Comments
�:"` Trust Account 09/29/2009 $40.61 BEN FRANKLIN PLBG/NO COLO
Receipt issued: 09/29/2009 Total Paid to Date: $40.6�
Fee Description Account Code Fee Amount Amount Paid Date Paid Amount Due
' City Sales/Use Tax 251.122030 $20.22 $20.22 09/29/2009 $0.00
� County Sales/Use Tax 100.217030 $5.39 $5.39 09/29/2009 $0.00
-, Permit Flat Fee w!o Subs $15 1000.422010 $15.00 $15.00 09/29/2009 $0.00
TOTAL FEES: $40.61 $40.61 $0.00
TOTAL BALANCE DUE AS OF 09/29/2009: 0.00
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Fee Amounts are valid for date of this document only. Fees subject to change without notice.