HomeMy WebLinkAbout925 COLUMBIA RD - PERMITS - 4/28/2003Community Planning & Environmental Services
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 ADDRESS925 COLUMBIA RD 623
PERMIT TYPE PER
WTRHTR Water Heater
Last Name, First, Middle Initial
ROINESTAD, RUSS
Z Address City/State
3 925 COLUMBIA RD #623 FORT COLLINS, CO
U ZiW0525 Phone No. 494-1849
BUILDING PERMIT
Building Valuation
B0352151 ACCOUNT
PERMIT DATE
04/28/2003 uilding Permit w/o Subs
MIT LEVEL CATEGORY TYPE
ISSLLFU I Residential ity Sales/Use Tax
Construction Type Occupancy Group
ounty Sales/Use Tax
LU
in No. of Stories Building Height
0
Stock Plan/Options
- -
--.
Q , `
0
_Z
Right Side Setback Left Side Setback
• • •
Z
I
TO SCHEDULE INSPECTIONS
Plat File No. ZBA Case Number Zoning District
(See reverse side for Inspection Description)
F N P
J
Subdivision/PUD
Filing
Q
wLot
Block
Lot Area 0
Parcel No.
J
Address
Phone
tiecincai
License No.
Ce
Mechanical
License No.
R
H
U
H
Roofing
License No.
ZZ
Framing
License No.
U
�
Plumbing
License No.
N
DEER CREEK PLUMBING
MP-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.
ALAI *,29,6,5
Print name of owner/agent Signature Date
FEE
DATE PAID
$15.00
4/28/03
$4.50
4/28/03
$1.20
4/28/03
4L FEES 1 W.701