HomeMy WebLinkAbout900 E PITKIN ST - PERMITS - 9/18/2003Community Planning & Environmental Services
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1 Building & Inspections Division
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 ADDRESS 900 E PITKIN ST
PERMIT TYPE PER
WTRHTR Water Heater
Last Name, First, Middle Initial
Cie DANEKIND KRISTEN
w Address
Z City/State
3 900 E PITKIN ST FORT COLLINS {
O Zip Phone No.
80524 224-9392
BUILDING PERMIT
Building Valuation
B0306171 ACCOUNT
PERMIT DATE
09/ 1 u 200 3 Building Permit w/o Subs
EVEL CATEGORY TYPE
ISSU_FUL Residential City Sales/Use Tax
Construction Type Occupancy Group
County Sales/Use Tax
ONo. of Stories Building Height
U Building Square Footage Stock Plan/options
rrom aeioaoK Hear
Setback
REQUIREDINSPECTIONS
Z
Right Side Setback Left Side Setback
CALL 221-6769
0 Z
TO 1ULE INSPECTIONS
Plat File No. ZBA Case Number Zoning District
(See reverse side for Inspection Description)
FNP
J
Subdivision/PUD
Filing
Q
wLot
Block Lot Area
Parcel No.
a
OCompany
Name
Contractor License No.
QAddress
City/State
Z
O
Phone
Supervisor Cert. No.
U
Electrical
License No.
W
Mechanical
License No.
Roofing
License No.
H
OFraming
License No.
U
COPlumbing
License No.
v>
nEEX I M o ING
MR 455
Concrete
License No.
REPLACE 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 owner/agent Signature Date TOTAL FEES
FEE DATE PAID
$15.0 9/18/03
$4.5 9/18/03
$1.29/18/IV' 3