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Home My WebLink About618 W MOUNTAIN AVE - PERMITS - 11/13/2012F"M `7 " w 281 N. College Ave Fort Collins, CO 80,522 ort Collins 970.221.676o 970.224.6134 -fax Building Permit #: B1206800 Issued Full: 11/13/2012 Permit Type: Residential Plumbing Site Address: 618 W MOUNTAIN AVE Job Valuation: $1,050.00 Category: Residential Owner: WHITLEY KATHLEEN P/WILLIAM J 618 W MOUNTAIN AVE FORT COLLINS, CO 80521-2609 Phone: 970-692-3730 Zoning: Front setback: Rear setback: Right setback: Left setback: Minor Amend #: Plat File #: ZBA Case #: Zoning district: NCM - NEIGHBORHOOD CONSERVATION - MEDIUM DENSITY DISTRICT Legal: Subdivision/PUD: Filing #: Lot #: Block #: Code: Res sq ft: Com sq ft: Ind sq ft: Basement sq ft: # of stories: Occ Group: Const Type: Fire Sprklr: Stock plan #: Stock plan options: Contractor: ELLMANN SERVICE COMPANY License #: MP-419 Supervisor cert#: 4024 CRESCENT DR FORT COLLINS. CO 80526 Phone: 970-223-3312 Subcontractorlsj__= Phone License Number Plumbing: ELLMANN-SERVICE-COMPANY ; 70-223-3312_ [] MP-419 nL, Work Description: BURST.SEWER FROM HOUSE TO -MOUNT SCHEDULE INSPECTIONS: *** By Phone: 970-221-6769 *** By Web: hftp://amos.fcgov.com/CitizenAccess ***By Mobile Device: http://amos.fcgov.com/CitizenAccess/amca/ Inspections: RP GL FNP UGP FNM FNE TOTAL FEES PAID AS OF 11/13/12: $41.50 Payment method: Trust Account * Fee Detail Displayed on Next Page As a condition for the issuance of a permit, I hereby declare that I am the owner or owners agent, authorized to perform the proposed work on the property described herein. I agree to comply with all the requirements contained herein, and 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 information. This permit shall become null and void if the work authorized by such permit is not commenced, suspended, abandoned or not inspected within 180 days from the date of such permit. Carbon Monoxide Alarm required within 15 feet of each bedroom entrance. SHP'D NOV 21 2012 Signature: Print Name: c f lJ1 Date: Form Revised Oct 2010 F6rt Collins Site Address: 618 W MOUNTAIN AVE Job Valuation: $1,050.00 Category: Residential Transactions Method Check Number Date Paid Amount Paid Trust Account 11/13/2012 $41.50 Receipt issued: 11/13/2012 Total Paid to Date: $41.50 Fee Description Account Code Fee Amount Building Permit Fee Without 1000.422010 $41.50 Subs TOTAL FEES: Community Development & Neighborhood Services 281 N. College Ave Fort Collins, CO 80522 970.221.676o 970.224.6134 -fax Building Permit #: B1206800 Issued Full: 11/13/2012 Permit Type: Residential Plumbing Comments ELLMAN TRUST Amount Paid Date Paid Amount Due $41.50 11/13/2012 $0.00 $41.50 $41.50 $0.00 TOTAL BALANCE DUE AS OF 11/13/2012: 0.00 \�A L-1 LJS Fee Amounts are valid for date of this document only. Fees subject to change without notice.