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HomeMy WebLinkAbout6218 Buchanan St - Permits/Water Heater - 05/02/2011City of F6rt Collins Site Address: 6218 BUCHANAN ST Job Valuation: $930.00 Category: Residential Owner: TREWHELLA, BARBARA J Community Development & Neighborhood Services 281 N. College Ave Fort Collins, CO 80522 970.221.676o 970.224.6134 -fax Building Permit #: B1101829 Issued Full: 05/02/2011 Permit Type: Residential Water Heater 6218 BUCHANAN ST FORT COLLINS, CO 80525 Phone: 970-391-6104 Zoning: Front setback: Rear setback: Right setback: Left setback: Minor Amend #: Plat File #: ZBA Case #: Zoning district: RL - LOW DENSITY RESIDENTIAL DISTRICT Legal: Subdivision/PUD: Filing #: Lot #: Block #: Code: Res sq ft: Com sq ft: Ind sq ft: Basement sq ft: # of stories: Occ Group: Const Type: Fire Sprklr: Stock plan #: Stock plan options: Contractor: CISCO PLUMBING License #: MP-624 Supervisor cert#: 2825 MONTEREY BAY EVANS, CO 80620 Phone: 970-506-1686 Subcontractor(s)---_Phone 3 _ License Number Plumbing: ( CISCO PL-UMBING( 970-506-1686- --- MP-624— i q i Work Description: REPLACE GAS WATER HEA TOTAL FEES PAID AS OF 05/02/11: $36.62 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 owner's 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. Carbon Monoxide Alarm required within 15 feet of each bedroom entrance. Signature: &0_ /� Print Name: F��ICrD & T Form Revised Oct 2010 City of F6rt Collins Site Address: 6218 BUCHANAN ST Job Valuation: $930.00 Category: Residential T.wwe.ww�:wwe. Method Check Number Date Paid Amount Paid Credit Card 05/02/2011 $36.62 Receipt issued: 05/02/2011 Total Paid to Date: $36.62 Fee Description Account Code Fee Amount City Sales/Use Tax 251.122030 $17.90 County Sales/Use Tax 100.217030 $3.72 Permit Flat Fee w/o Subs $15 1000.422010 $15.00 TOTAL FEES: Community Development 8 Neighborhood Services 281 N. College Ave Fort Collins, CO 80522 970.221.676o 970-224.6134 -fax Building Permit #: B1101829 Issued Full: 05/02/2011 Permit Type: Residential Water Heater Comments FRANCISCO M ALCARAZ CC Amount Paid Date Paid Amount Due $17.90 05/02/2011 $0.00 $3.72 05/02/2011 $0.00 $15.00 05/02/2011 $0.00 $36.62 $36.62 $0.00 TOTAL BALANCE DUE AS OF 05/02/2011: 0.00 r Fee Amounts are valid for date of this document only. Fees subject to change without notice.