HomeMy WebLinkAbout1718 Palm Dr - Permits/Water Heater - 12/03/2014�Fort Collins
Site Address: 1718 PALM DR, 3
Job Valuation: $940.00 Category: Residential
Owner: COE JESSICA MICHELLE
Community Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6134 -fax
Building Permit #: B1412376
Issued Full: 12/03/2014
Permit Type: Residential Water Heater
1718 PALM DR 3
FORT COLLINS, CO 80526 Phone: 970-388-4008
Zoning: Front setback: Rear setback: Right setback: Left setback:
Minor Amend #: Plat File #: ZBA Case #:
Zoning district: MMN - MEDIUM DENSITY MIXED -USE NEIGHBORHOOD DISTRICT
Legal: Subdivision/PUD:
Code: Res sq ft: Com sq ft:
# of stories: Occ Group:
Fire Sprklr: Stock plan #:
Contractor: ACTION PLUMBING & HEATING
201 12th St. SW,'
LOVELAND, CO', 80537
St
Pit
W1
Filing #: Lot #: Block #:
Ind sq ft:
Const Type:
Stock plan options:
License #: MP-324
Phone: 970-669-6093
Basement sq ft:
Supervisor cert#:
SCHEDULE INSPECTIONS: *** By Phone: 970-221-6769 *** By Web: http://amos.fcgov.com/CitizenAccess
***By Mobile Device: http://amos.fcgov.com/CitizenAccess/amca/
Inspections: FNP FNE FNM
TOTAL FEES PAID AS OF 12/03/14: $45.92 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.
Carbon Monoxide Alarm required within 15 feet of each bedroom entrance.
Signature: Print Name: Date:
Form Revised Oct 2010
F6Collinsrt
Site Address: 1718 PALM DR. 3
Job Valuation: $940.00 Category: Residential
Transactions
Trust Account 12/03/2014 $45.92
Receipt issued: 12/03/2014 Total Paid to Date: $45.92
Fee Description Account Code Fee Amount
City Sales/Use Tax 251.122030 $18.10
County Sales/Use Tax 100.217030 $2.82
Permit Flat Fee w/o Subs $25 1000.422010 $25.00
Community Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6134 -.%
Building Permit #: B1412376
Issued Full: 12/03/2014
Permit Type: Residential Water Heater
Amount Paid Date Paid Amount Due
$18.10 12/03/2014 $0.00
$2.82 12/03/2014 $0.00
$25.00 12/03/2014 $0.00
TOTAL FEES: $45.92 $46.92 $0.00
TOTAL BALANCE DUE AS OF 12/03/2014: 0.00
O00 ni
Fee Amounts are valid for date of this document only. Fees subject to change without notice.