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Home My WebLink About70 Circle Dr - Permits/Water Heater - 06/28/2010arof t Collins Site Address 70 CIRCLE DR Job Valuation 722 00 Category Residential Owner VANDERWEIT EVA K 70 CIRCLE DR FORT COLLINS CO 80524-4104 Community Development & Neighborhood Services 281 N College Ave Fort Collins CO 80522 970 221 676o 970 224 6134 -fax Budding Permit # B1004097 Issued Full 06/28/2010 Permit Type Residential Water Heater Phone 493 6490 Zoning Front setback Rear setback Right setback Left setback Minor Amend # Plat File # ZBA Case # Zoning district NCL NEIGHBORHOOD CONSERVATION LOW DENSITY DISTRICT Legal Subdivision/PUD Code Filing # Lot # Block # Res sq ft Corn sq ft Ind sq ft _ # of stories Occ Group Const Type _ Fire Sprklr Stock plan # Stock plan options Contractor WORKMAN PLUMBING SERVICES INC License # 929 SILVERLEAF PC Basement sq it MP-673 Supervisor cert # LOVELAND `CO_80539� O Phone 970 308 9796 License Number +�s M ti �r " SCHEDULE INSPECTIONS ' By Phone 221-6769 ' By Web http 1/aaweb fcgov com/CitizenAccess* Inspections FNP FNE FNM TOTAL FEES PAID AS OF 06/28/10 28 72 Payment method Credit Card Fee Detail Displayed on Next Page As a condition for the issuance of a permit I hereby dedare that I am the owner or owners agent, au0ror¢ed to perform the proposed work on the property described herein I agree to compty, with all the requirements contained herein and City ordinances and Slate 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 beoome null and void d the wank authored by such permit is not corn mmood arspended abandoned or not inspected within 180 days from the date of such pemnt Signature Print Name Date Form Revised IW1010 arof t Collins Site Address 70 CIRCLE DR Job Valuation 722 00 Category Residential Community Development & Neighborhood Services 281 N College Ave Fort Collins CO 8o522 970 221 676o 970 224 6134 -fax Budding Permit # B1004097 Issued Full 06/28/2010 Permit Type Residential Water Heater Transactions Method Check Number Date Paid Amount Paid Comments Credit Card 06/28/2010 $28 72 WORKMAN CC Receipt issued 06/28/2010 Total Paid to Date $28 72 Fee Description Account Code Fee Amount Amount Paid Date Paid Amount Due City Sales/Use Tax 251 122030 $10 83 $10 83 06/28/2010 $0 00 County Sales/Use Tax 100 217030 $2 89 $2 89 0628/2010 $0 00 Permit Flat Fee w/o Subs $15 1000 422010 $15 00 $15 00 06/282010 $0 00 TOTAL FEES $28 72 $28 72 $0 00 COTOTAL BALANCE DUE AS OF 06/28/2010 0 00 F, 0 0 �1�