HomeMy WebLinkAbout626 W PROSPECT RD - PERMITS - 10/3/2001Community Planning & Environmental Services �� ING PERMIT
dr. Building & Inspections Division
PERMIT FEES
P.O. Box 580 281 N. College Ave.
Fort Collins, CO 80522-0580
cttw of F Phone (970) 221-6760 Fax (970) 224-6134 B 01 0 6 2 2
]ACCOUNT
Building Valuation
$689 45
FEE
DATE PAID
JOB
SITE ADDRESS 626 WPROSPECT RD
PERMIT DATE i)Osj2oO
Building Permit w/o Subs
$15.00
10/2/01
PERMIT
TYPE WTRHTR Water Heater
PERMIT LEVEL ISSU_FUL
CATEGORY TYPE RESIDENTIAL
Las (jJp[rJg.K9t.
MA J MATHIS
Construction Type
occupancy Group
ce
Z
SA
Add DUTCH CREEK DR
Ciry / St'LITTLETON CO
0 No. of tones
O
Building Height
3
Zip 80123-6577 Phone
No. 498-0214
Building Square Footage0
Stock Plan/Options
Front Setback Rear
Setback
Z
Right Side Setback Left Side Setback
Z
• •
Plat File No. ZBA Case Number Zoning District
(See reverse side for Inspection Description)
Subdivision/PLID Filing
FNP
Q
w
J
Lot Block Lot Area 0 Parcel No.9714300026
Company Name Contractor License No.
Address
City/State
H
Z
Phone Supervisor Cert. No.
V
Electncal License No.
Mechanical
License No. ,
Rooting
License No.
F
0)
Framing
License No.
co
N
Plumbin
RURTESY PLUME NG, INC.
License No.
MP 322
Concrete
License No.
REPLACE WATER HEATER
As
a condition for the issuance of a permit, I hereby declare that I 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 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 or incomplete information. This permit shall become null and void if the tNork authorized by such permit is not
commenced,
suspended, abandoned or not inspected within 180 days from the date of such permit or from the date of the last inspection.
name of owner/agent Signature Date
TOTAL FEES 1
$15•00
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