HomeMy WebLinkAbout6303 BUCHANAN CT - PERMITS - 10/25/2006Community Planning & Environmental Services BUILDING PERMIT
o Building & Inspections Divisioni02�
I PERMIT FEES
P.O. Box 580 281 N. College Ave.
Building Valuation
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Fort Collins, CO 80522-0580
City ofCity F phone (970) 221-6760 Fax (970) 224-6134 B0605052
ACCOUNT
FEE
DATE PAID
JOB
SITE ADDRESS
PERMIT DATE
Building -Permit tl/o.Sub
$15.00.
10/2.5i0
PERMITTYPE
PERMIT LEVEL
CATEGORY TYPE
Last Name, First, Middle Initial
Construction Type
Occupancy Group
w
Z
CAl
Address
City/State
w
p No. of Stories
Building Height
3
0
Zip Phone
No.
Building Square Footage
Stock Plan/Options
907-1079
'
Front Setback Rear
Setback
*1111111
Z
Right Side Setback Left Side Setback
0
2
Plat File No. ZBA Case Number Zoning District
• , • •
_
_
_
(See reverse side for Inspection Description)
fHP
J
Subdivision/PUD
Filing
Block
Lot Area
Parcel No.
wLot
J
7 A f r\
OCompany
Name Contractor
License No.
V
A11 1 I AT 11Q
Address City/State
Z
O
C I
COLLINS,
t
Phone
Supervisor Cert. No.
V
0
Electrical
License No.
W
G
Z
z
0
V
m
INSTALL WATER HEATER
8
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 hat 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
Signature
Date
TOTAL FEES