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HomeMy WebLinkAbout5124 Stillwater Creek Dr - Permits/Water Heater - 01/17/2017FrfCollins Site Address: 5124 STILLWATER CREEK DR. D Job Valuation: $3,028.00 Category: Residential Owner: METGHALCHI GOLNAZ 22 SUGARBERRY CIR HOUSTON, TX 77024-7251 Community Development & Neighborhood Services 281 N. College Ave Fort Collins, CO 80522 970.221.676o 970.224.6134 -fax Building Permit #: B1700176 Issued Full: 01/17/2017 Permit Type: Residential Water Heater Phone: 970-631-7755 Zoning: Front setback: Rear setback: Right setback: Left setback: Minor Amend #: Plat File #: ZBA Case #: Zoning district: LMN - LOW DENSITY MIXED -USE NEIGHBORHOOD DISTRICT Legal: Subdivision/PUD: Code: Res sq ft: Com sq ft: # of stories. Occ Group: Fire Sprklr: Stock plan #: Contractor: ALLEN PLUMBING & HEATING 101 S. LINK LANE' ` - FORT COLLINS, CO 80524`�', Subcontractor(s)� t 1 11 Phone Plumbing: i ALLEN PLUMBING &_HEATING /970-484 ' 1 Work Description: Remove/replace existing Water Heater. Filing #: Lot #: 101 Block #: Ind sq ft: Basement sq ft: Const Type: Stock plan options: License M MP4 Supervisor cart#: Phone: 970-484-4841 License Number MPS -J 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 Inspections: FNP FNE FNM TOTAL FEES PAID AS OF 01/17/17: $93.13 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 infornabon. 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 Ft Collins Site Address: 5124 STILLWATER CREEK DR. D Job Valuation: $3,028.00 Category: Residential Transactions Trust Account 01/17/2017 $93.13 Receipt issued: 01/17/2017 Total Paid to Date: $93.13 Fee Description Account Code Fee Amount City Sales/Use Tax 251.122030 $58.29 County Sales/Use Tax 100.217030 $9.84 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 -fax Building Permit #: B1700176 Issued Full: 01/17/2017 Permit Type: Residential Water Heater Amount Paid Date Paid Amount Due $58.29 01/17/2017 $0.00 $9.84 01/17/2017 $0.00 $25.00 01/17/2017 $0.00 TOTAL FEES: $93.13 $93.13 $0.00 TOTAL BALANCE DUE AS OF 01/17/2017: 0.00 _J 'L_ //� 1 ❑ L Fee Amounts are valid for date of this document only. Fees subject to change without notice.