HomeMy WebLinkAbout6406 BUCHANAN ST - PERMITS - 1/10/2006Community Planning &Environmental Services BUILDING
UILD1NG PERMIT TPERMIT FEES
Building & Inspections Division
P.O. Box 580 281 N. College Ave. Building Valuation
Fort Collins, CO 80522-0580
City of Fort Collins phone (970) 221-6760 Fax (970) 224-6134 B0600118 $693.00
ACCOUNT FEE DATE PAID
JOB SITE ADDRESS 6406 BUCHANAN ST PERMIT DATE
01/ 10/2006 Building Permit w/o Sub $15. 0 1/10/0
PERMIT TYPE PERMIT LEVEL CATEGORY TYPE
WTRHTR Water Heater ISSU_FUL Residential
Last Name, First, Middle Initial Construction Type Occupancy Group
im IMGRUND, GERALD J/JANET L
LLJAddress City/State p No. of Stories Building Height
0�6406 BUCHANAN ST FORT COLLINS, CO O
Zip 80525 Phone No. 224-1140 V Building Square Footage Stock Plan/Options
Front Setback Rear Setback ! Q
0
Z Right Side Setback Left Side Setback • • • •
Z I E
Plat File No. ZBA Case Number Zoning District (See reverse side for Inspection Description)
Subdivision/PUD Filing F N P
�j Lot Block Lot Area Parcel No.
9612415005
Company Name I Contractor License No.
Address
Electrical
License No.
w
Mechanical
License No.
CRoofing
License No.
0
Framing
License No.
Plumbing
FIFE STAR PLUMBING
License No.
MP 148
co
rn
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 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.
Print name of owner/agent Signature Date [TOTAL FEES $1 ,