HomeMy WebLinkAbout912 Rocky Mountain Way - Permits/Water Heater - 09/19/2005Community Planning & Environmental Services
Building & Inspections Division
P.O. Box 580 281 N. College Ave.
Fort Collins, CO 80522-0580
2110f101 Collin phone (970) 221-6760 Fax (970) 224-6134
JOB SITE ADDRESS 912 ROCKY MOUNTAIN WAY
BUILDING PERMIT i PERMIT FEES
Building Valuation
B0505388 $740.00
ACCOUNT FEE I DATE PAID
PERMIT DATE 09/ 19/2005 1 Building Permit w/o Subs $15.0 9/19/05
PERMITTYPE WTRHTR Water Heater PERMIT LEVEL ISSU_FUL CATEGORY TYPE %sidenb
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Last Name, First, Middle Initial Construction Type Occupancy Group E
W PAGE,LUS CQANELLE M
Z Address City/State Wp No. of Stories Building Height
912 ROCKY MOUNTAIN WAY FORT COLLINS, CO O
O Zip26-26 Phone No. 226-5� Building Square Footage
Stock Plan/Options
� Z Right Side Setback
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Plat File No.
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[Lot
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Address
Phone
Electrical
o!: mecnanicai
C Roofing
ZFraming
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m Plumbing
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Left Side Setback
ZBA Case Number
Block Lot Area
Contractor Licen
City/State
Supervisor Cert. No.
License No.
License No.
License No.
License No.
License No.
License No.
REPLACE 50 GALLON WATER HEATER
Parcel No.
9126217008
(See reverse
FNP
Inspection Description)
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 d suZpermr from the date of the last inspection.
Print name of owner/agent Sig ture Date