HomeMy WebLinkAbout712 Tyler St - Permits/Water Heater - 12/27/2017Ft Collins
Site Address: 712 TYLER ST
Job Valuation: 967 50 Category: Residential
Owner: CLAY LINDA REVOCABLE TRUST
105 SHARON CT
WINONA, MN 55987
Zoning: Frontsetback
Rear setback
Community Development & Neighborhood Services
28i N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6134 -fax
Building Permit #: B1708830
Issued Full: 12127/2017
Permit Type: Residential Water Heater
Phone 970-482-9293
Right setback Left setback
Minor Amend # Plat File # ZBA Case #
Zoning district RL -LOW DENSITY RESIDENTIAL DISTRICT
Legal: Subdivision/PUD
Code: Res sq ft _
# of stones _
Fire Sprklr
Filing # Lot # Block #
Com sq ft Ind sq ft Basement sq ft
Occ Group Const Type
Stock plan # Stock'plan options
Contractor: INDEPENDENT PLMBG SOL License # MP-610 Supervisor cert#
1611 E Lincoln Ave UnitA� 1i L3 J
FORT COLLINS1 C0 80524� Phone 970-566-1377
Subcontractor(s)� 97Phone
Plumbing INDEPENDENT PLMBG OL 0-566-1377 ❑
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Work Description Replace 40,gallon natural gas water heater
License Number
MP-610
n S
II SCHEDULE INSPECTIONS: *** By Phone: 970-221-6769 *** By Web: http://www.fcgov.com/CitizenAccess II
***By Mobile Device: http://www.fcgov.com/CitizenAccess/mobile
Possible Insoectlons Reauired 300 301 302
TOTAL FEES PAID AS OF 12/27/17: $46.76 Payment method: Check 1270
*' 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 tithe 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.
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Signature: Print Name: 1 tR��2tHr~S Date: 2--Z7 - I �
Form Revised Oct 2010
F&tColhns
Site Address: 712 TYLER ST
Job Valuation: 967 50 Category: Residential
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Transactions
Method Check Number Date Paid Amount Paid
Check CK# 1270 12/27/2017 $46 76
Receipt issued: 12/27/2017 Total Paid to Date:
Fee Description Account Code
City Sales/Use Tax 251 122030
County Sales/Use Tax 100 217030
Permit Flat Fee w/o Subs $25 1000 422010
TOTAL FEES:
$46 76
ty Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6134 -fax
Building Permit #: B1708830
Issued Full: 12/27/2017
Permit Type: Residential Water Heater
Comments
Independent Plumbing Solutions, Inc paid by CK# 1270
Fee Amount
Amount Paid
$1862
$1862
$3 14
$3 14
$25 00
$25 00
$46.76 $46.76
Date Paid
Amount Due
12/27/2017
$0 00
12/27/2017
$0 00
12/27/2017
$0 00
$0.00
TOTAL BALANCE DUE AS OF 12/27/2017: 0.00
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Fee Amounts are valid for date of this document only. Fees subject to change without notice.