HomeMy WebLinkAbout925 COLUMBIA RD - PERMITS - 3/21/2006M PERMIT FEES
Community Planning &Environmental Services BUILDING PERMIT
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 B 0 6 01 1 0 4
ACCOUNT FEE DATE PAIL}'
JOB SITE ADDRESS PERMIT DATE
925 COLUMBIA RD 712 03J2'I 2OQ6 Building Permit w/o Sub a15. 0 3/21/011
PERMIT TYPE PERMIT LEVEL CATEGORY TYPE
WTRHTR Water Heater ISSU_FUL Residenti
Last Name, First, Middle Initial Construction Type Occupancy Group
w AddressLLJ
Z City/State in No. of Stories Building Height
FORT COLLINS CO
Zip 80525 472-0935 Phone No. Building Square Footage Stock Plan/Options
Front Setback Rear Setback ! , •
Z Right Side Setback Left Side Setback • • • •
2 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.
J
9724423001
W Company Name Contractor License No.
Address I City/State
.euu.�ai
License NO.
OMechanical
License No.
Roofing
License No.
Framing
License No.
V
Plumbing
License No.
m
hII
"Concrete
License No.
INSTALL 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
Signature
1