HomeMy WebLinkAbout925 COLUMBIA RD - PERMITS - 4/22/2004Community Planning & Environmental Services
e 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 925 COLUMBIA RD 421
PERMITTYPE WTRHTR Water Heater PERMIT
Last Name, First, Middle Initial
ce DOWNING, KAREN
Z Address City/State
3 408 CORNELL ACE FORT COLLINS, CO
O Zip 80525 Phone No. 482 2172
BUILDING PERMIT
Building Valuation
B0402278
ACCOUNT
PERMIT DATE ta, n C t
uUiluiig terT.it w10 Subs
LEVEL CATEGORY TYPE
ISSU_FUL Residential
Construction Type Occupancy Group
ONo. of Stories Building Height
V
Front Setback
Rear Setback
_Z
Right Side Setback Left Side Setback
Z
NPlat
File No. ZBA Case Number Zoning District
J
Subdivision/PU D
Filing
Q
wLot
Block
Lot Area 0
Parcel No.
9I244118001
Company Name
I Contractor License No.
Phone
City/State
License No.
W
Mechanical
License No.
Roofing
License No.
Z
Framing
License No.
V
m
V)
Plumbing
License No.
i IT IT PI M (• Tn
MP 9V
Concrete
License No.
WATER HEATER
(See reverse side for Inspection Description)
rNF
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.
$625.00
FEE DATE PAID
a1It a 4,24JUa
name of
Signature
Date
TOTAL FEES
$1