HomeMy WebLinkAbout412 SMITH ST - PERMITS - 1/31/2006Community Planning & Environmental Services BUILDING P E RM I TPERMIT
FEES
Building & Inspections Division
�- P.O. Box 580 281 N. College Ave.
Building Valuation
Fort Collins, CO 80522-0580 fJ
$750.00
c'tvafF Phone (970) 221-6760 Fax (970) 224-6134 QO600�rJ� \11i/
'W
'FEE
ACCOUNT
DATE. PAID
JOB
SITE ADDRESS 412 SMITHST
PERMIT DATE 01/31/2006
Building Permit w/o Sub
City Tax
County Sales/Use Tax
$15.
$11:
$3.
0 1/31/0
5 1/31'./0
0 1 31 0
PERMITTYPE
WTRHTR Water Heater
PERMIT LEVEL ISSU_FUL
CATEGORVTYPE Residential
-a`ARd9h%d6Vt0bLLYE
ConsiructionType
Occupancy Group
AddreSS, 2 SMITH ST
4
city/state FORT COLLINS,CO
uJ
p No. of Stories
O
Building Height
O
_ •" •�
�� m.
Zip 80524-2938
Phone No.
Building Square Footage Stock Plan/Options._...___.—
Front Setback
Rear Setback
Z
Right Side Setback Left Side Setback
Z
2
• •
Plat File No. ZBA Case Number Zoning District
(See reverse side for Inspection Description)
SubdivisioNPUD -�- � Filing
FUP
J
J
-
Lot m Block Lot Area Parcel No. 9717342022
Company Name Contractor License No.
Address City/State
ZPhone
_
Supervisor Cert. No.
V
Electrical License No.
ei�
Mechanical -
License No.
GRoofing
License Na.
Z
Framing
License No.
V2
Plumbing
License No.
LO
Concrete .. - t t �
License No . •
REPLACE WATER HEATER., OWNER DOING WORK.
HOMEOWNER AFFIDAVIT ON FILE.
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
v
event
that issuance was based on incorrect or incomplete information. T ' permit shall ecome null and void if the work authorized by such permit is not
commenced,
suspended, abandoned or inspected within 1 BO days fro th ate of h perms or om the date of the last inspection.
TOTAL FEES
$29.
5
name of owner/agent Signature Date
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