HomeMy WebLinkAbout601 ENDICOTT ST - PERMITS - 4/27/2004Community Planning &Environmental Services BUILDING PERMITPERMIT
FEES
Building & Inspections Division
P.O. Box 580 281 N. College Ave.
Building Valuation
-
Fort Collins, CO 80522-0580
$ 8 1 a. Q 0
City of Fort Collins Phone (970) 221-6760 Fax (970) 224-6134 B 0 4 0 2 4 6
ACCOUNT
FEE
DATE PAID
JOB
SITE ADDRESS 501 ENDMTT ST
PERMIT DATE /
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PERMIT
TYPE
1NTR!-!?'R Water Heater
PERMIT LEVEL
ISSU_F:.lL
CATEGORY TYPE
Residential
Last Name, First, Middle Initial
Construction Type
Occupancy Group
MANVEL. 9ENNET!ANNE L
Address
City/State
LU
n No. of Stories
Building Height
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323 E PLUM ST
I FORT COLLINS. CO
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Zip
Phone No.
Building Square Footage Stock Plan/Options
80524-3328
224-9312
0
Front Setback
Rear Setback
Z
Right Side Setback
Left Side Setback
Z
1
N
(See reverse side for Inspection Description)
Plat File No. ZBA Case Number
Zoning District
Subdivision/PUD
Filing
4 �'
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Q
Lot Block Lot Area 4 Parcel No. n
J/1JI ILV IU
Company Name Contractor License No.
d'
aAddress
City/State
dH
Z
O
Phone Supervisor Cert. No.
v
Electrical License No.
Mechanical
License No.
0
Roofing
License No.
H
Z
Framing
License No.
U
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Plumbing
License No.
TTu�ALLErIiLUM�IVr �FAi.!ru
Concrete
License No.
INSTALL WATER NEATER
LU
-
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
$15.0