HomeMy WebLinkAbout332 E Pitkin St - Permits/Water Heater - 02/16/1994DEVELOPMENT SERVICES/BUILDING PERMITS & INSPECTIONS DIVISIUN
P.O. BOX 580, FORT COLLINS, CO 80522-0580
221-6769
1 0 BUILDING PERMIT
JOB SITE ADDRESS 33r F PTT TN S-
Permit Type Work Type Category Type
H NE:AI Si. ' le P�d:?!liv Dety
WATER HEATER Permit Level
w Proposed Use Use Zone PUI LFT!'K F%L
d PEST
DP[tiTTa1
Filing PERMIT FEES
Subdivision PUD
Q
Subdivision/PUD
0
Lot
Block
Parcel No.
M.I.
Last
E-mFR SON
First
_TANS
¢
Z
Address
—. c TTt; Trt
City
PORT CU_LTt�S
..
O
State
Zip
Phone No.
Si?524
m
Company Name
Contractor -License No.
Q
Address
city
State
~
ZO
Zip
Phone
Sales Tax No.
U
Construction Type
Occupancy Group
Fire Sprinkler
Building Square Footage
No. of Stories
Bldg. Height
Occupant Load
Occupancy Separation
Area Separation
O
3
No. of Dwelling Units
No. of Bedrooms
No. of Bathrooms
Fireplace/Stoves
Basement
O
Z
O
a
Text'
WATEP iiATER PEF_ACEMEN-
L)
U
ZBA Case No. BBA Case No.
Permit No. Permit Date _
tti41/'v,%i FE:JRt ARY 16" f c "q �'F
As a condition for the issuance of a permit. I hereby declare that 1 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 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 1 11 Date
PINK -APPL ICANT. TAG -FIEL CAR
ACCOUNT
SLOG P;7RMTT FEAT
CITY SflL S USE TA
SITE SETBACKS
REAR
I
LEFT RIGHT
15 } FRONT
FEE DATE PAID
Lot Area
t), 00 Plat File No.
TOTAL FEES I 15.00
Fire Containment
Stock Plan options
DEPARTMENT I STATUS I
Off St. Parki
CALL 221-6769
TO SCHEDULE INSPECTIONS
(See reverse side for
Inspection Description)
NJ
Electrical
Mechanical
Plumbing