HomeMy WebLinkAbout910 W MULBERRY ST - PERMITS - 4/12/2006m PERMIT FEES
goCommunity Planning &Environmental Services BUILDING PERMIT
Building & Inspections Division
P.O. Box 580 281 N. College Ave. Building Valuation
Fort Collins, CO 80522-0580 $1,094.00
city o>F Fort con;int; phone (970) 221-6760 Fax (970) 224-6134 B0601569
:ACCOUNT FEE DATE PAID
JOB SITE ADDRESS 910 W MULBERRYST I
PERMIT DATE 04/12/2006 Building Permit w/o Subs $15. 0 4/12/0
PERMIT TYPE PERMIT LEVEL CATEGORY TYPE
WTRHTR Water Heater ISSU_FUL Residents
Last Name, First, Middle Initial Construction Type Occupancy Group
L OFFREY/WEST NANC
w Address City/State Wp No. of Stories Building Height
211 MATOAKA CT I WILLIAMSBURG, VA Q
Q Zip Phone No. Building Square Footage I Stock Plan/Options
23185
Front Setback
Rear Setback
Q
Z_
Right Side Setback
Left Side Setback
Z
2
Plat File No.
ZBA Case Number
Zoning District
Subdivision/PUD
Filing
J
a
Lot
Block
Lot Area
Parcel No.
LH
9711
W
Comoanv Name
I Contractor License No.
Address
License No.
Mechanical
License NO.
Q
Roofing
License No.
Framing
License No.
O
m
Plumbing
License No.
t�
gynpl i
ConcreteI
License No.
INSTALL ONE 50 GALLON GAS WATER HEATER
18
(See reverse side for Inspection Description)
FNP
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
FEES I? $15.4