HomeMy WebLinkAbout925 COLUMBIA RD - PERMITS - 9/28/20060
Community Planning &Environmental Services BUILDING PERMIT
PERMIT FEES
Building & Inspections Division
P.O. Box 580 281 N. College Ave.
sanding Valuation
Fort Collins, CO 80522-0580
c;tv of F phone (970) 221-6760 Fax (970) 224-6134 B 0 6 0 4 5 9
ACCOUNT
FEE
DATE PAID
JOB
SITE ADDRESS -
PERMIT DATE
925 COLUMBIARD#813
9 2° 006
Building Permit w/o Sob
$15.
)0 9/ W
PERMIT
TYPE
PERMIT LEVEL
CATEGORYTYPE
WTRHTR Water Heater
ISSU FUL
Residenti
I
Last Name, First, Middle Initial
Construction Type
Occupancy Group
Z
Address
City/State
0 No. of Stories
Building Height
3
o
0
Zip Phone
No.
Building Square Footage Stock Plan/Options
80525
n
Front Setback Rear
Setback
_Z
Right Side Setback Left Side Setback
Z
Loll RK141111111111210 40010
N
Plat File No. ZBA Case Number Zoning District
Subdivisioni Filing
(See reverse side for Inspection Description)
FNP
a
wLot
Block Lot Area Parcel No.
9724426006
Name Contractor License No.
OCompany
G
AMERUAN+
Address City/State
Z
FORT C011-14SP
Phone Supervisor Cert. No.
970 484L 814,
Electrical License No.
Mechanical
License No.
r�
Roofing
License No.
Z
Framing
License No.
0
m
Plumbing
License No.
v�AMEQUAN
HQVIUSFINP,
MP 3i5
Concrete
License No,
INSTALLATION OF 40 GALLON ELECTRIC WTAER HEATER
x
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 work authorized by such permit is not
commenced,
suspended, abandoned or inspected within 180 days from the date of such permit or from the date of the last inspection.
..
name of owner/agent ent Signature Date
g g
TOTAL FEES
$15.
0
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