HomeMy WebLinkAbout828 PETERSON ST - PERMITS - 12/5/2005Community Planning &Environmental Services BUILDING PERMITPERMIT FEES
Building & Inspections Division
P.O. Box 580 281 N. College Ave. Building Valuation
Fort Collins, CO 80522-0580
CityofFortCollins phone (970) 221-6760 Fax (970) 224-6134 B0507103 $690.00
ACCOUNT FEE DA!t PAID;
JOB SITE ADDRESS 828 PETERSONST PERMIT DATE 12 05/2005 BuiIdin Permit w/o Sub / s $15. 0 12/5/0
PERMITTYPE WTRHTR Water Heater PERMIT LEVEL ISSU_FUL CATEGORY TYPE Residenti
Last Name, First Middle Initial Construction Type Occupancy Group
ce BILLINGS, JASON R
Address SSS
828 PETERSON ST CFORT COLLINS, CO 'City/State in No. of Stories Building Height O
Zip 80524-3321 Phone No. 581-6444 Building Square Footage 0Stock Plan/Options
Front Setback Rear Setback ,
Z Right Side Setback Left Side Setback • • •
Z fi
2 Plat File No. ZBA Case Number Zoning District (See reverse side for Inspection Description)
J Subdivision/PLID Filing E N P
w Lot Block Lot Area Parcel No. 9713223016
Company Name Contractor License No.
Address
Electrical
License No.
rY
Mechanical
License No.
0
Roofing
License No.
H
Z
Framing
License No.
U
m
N
Plumbin
M
License No.
THE PLUMBING MAN, LLC
MP 481
Concrete
I License No.
CHANGE OUT NATURAL GAS 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 that issuance was based on incorrect or incom information. This permit shall beco a null and void if the work authorized by such permit is not
commenced, suspended, ab ndoned or inspect ithin 180 from the date p it ohrom the date of the last inspection.
P1:e),f owner/agent gnat Date