HomeMy WebLinkAbout4213 STONERIDGE DR - PERMITS - 2/12/2004Community Planning &Environmental Services BUILDING P E RM I TPERMIT
�Building &Inspections Division
FEES
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 4 0 0 7 1
ACCOUNT
FEE
DATE PAID
JOB
SITE ADDRESS
PERMIT DATE
4213 STONERIDGE DR
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Building rlerrr'it u,o subs
$ 15. 0
: 2' 12/:`! 1.4
PERMIT
TYPE
PERMIT LEVEL
CATEGORY TYPE
WTRHTR Water Heater
ISSU FUL
Residential
Last Name, First, Middle Initial
Construction Type
Occupancy Group
LU
Z
Address
City/State
uj
0 No. of Stories
Building Height
4213 SIONERIDGE DR
FORT COLLINS. CO
O
1
O
Zip Phone
No.
Building Square Footage
Stock Plan/Options
80525
484-4841
rl
Front Setback Rear
Setback
0
Z_
Right Side Setback Left
Side Setback
' • • •
Z
N
Plat File No.
ZBA Case Number
Zoning District
(See reverse side for Inspection Description)
F U P
n
Subdivision/PUD
Filing
Q
wLot
Block
Lot Area
Parcel No.
Q
'7049nCn9"
OCompany
Name Contractor
License No.
V
Address City/State
Z
Phone
Supervisor Cert. No.
V
Electrical
License No.
ce
Mechanical
License No.
URoofing
H
License No.
Z
Framing
License No.
V
Z)
Plumbing
License No.
M t ;nTn,n
Mn
Concre e -
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 owner/agent
Signature
Date
TOTAL FEES