HomeMy WebLinkAbout4721 OLT CT - PERMITS - 9/9/2003Community Planning & Environmental Services
�44r I �Nft iBuilding & Inspections Division
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P.O. Box 580 281 N. College Ave.
Fort Collins, CO 80522-0580
City of Fort Collins phone (970) 221-6760 Fax (970) 224-6134
JOB SITE ADDRESS4721 OLT CT
PERMIT TYPE PER
WTRHTR Water Heater
Last Name, First, Middle Initial
Z Address
3
Zip
_Z Right Side Setback
Z
Plat File No.
Subdivision/PUD
L7
w Lot
J
Company Name
Address
Z Phone
U
Phone No.
Rear Setback
Left Side Setback
ZBA Case Number Zoninq District
Block ILot Area
0 1
Contractor License No.
City/State
Electrical License No.
W Mechanical License No.
R
Roofing License No.
H
Z Framing License No.
U
60 Plumbing License No.
rn In ,RF F K
pi jgINCMP a
Concrete License No.
INSTALL 40 GALLON GAS WATER HEATER
No.
BUILDING PERMIT mytrl
Building Valuation
B0305921 ACCOUNT
PERMIT DATE
093 0'7,/ 003 luildilrig Permit w/o Subs
.EVEL CATEGORY TYPE
ISSU_FUL Residential ity Sales/Use Tax
Construction Type Occupancy Group
aunty Sales/Use Tax
Wp No. of Stories Building Height
OBuilding Square Footage Stock Plan/Options
(See reverse side for Inspection Description)
FNDl
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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' ion.
Print name of owner/agent Signature Date TOTAL FEES
FEE
DATE PAID
$IJ, UU
9/9/03
$4.50
9/9/03
$1.20
9/9/03
$20.70