HomeMy WebLinkAbout118 S WHITCOMB ST - PERMITS - 5/28/2003Community Planning &Environmental Services BUILDING PERMITPERMIT
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 3 0 3 0 5
ACCOUNT
FEE
RATE PAIR
JOB
SITE ADDRESS118 SWHITCOMBST
PERMIT DATE
I 05 28 2003
luilding Permit w/o Subs
$17.50
5/28/03
PERMIT
TYPE
PLUM PlumbingAlteration
PERMIT LEVEL
ISSU FUL
CATEGORY TYPE
I Residential
Last Name, First, Middle Initial
Construction Type
Occupancy Group
KALEY LANE GANN E
Address
City/State
in No. of Stories
Building Height
w
Z
3
1900 BEAR CT
FORT COLLINS CO
V
Zip
Phone No.
Building Square Footage Stock Plan/Options
80525
Front Setback
Rear Setback
Z_
Right Side Setback
Left Side Setback
2
(See reverse side For Inspection Description)
-
Plat File No. ZBA Case Number
Zoning District
Subdivision/PUD
Filing
R P G l F N P
_
Q
wLot
Block Lot Area Parcel No.
J
0 1 9711410005
Company Name Contractor License No.
W
Address City/State
Z
O
Phone Supervisor Cert. No.
V
Electrical License No.
c
Mechanical
License No.
Roofing
License No.
H
Z
Framing
License No.
co=)
Plumbing
License No.
N
_
Concrete
License No.
REPLACE EXISTING SEWER LINE.
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 thee date of such permit or from the date of the last inspection.
i Sr -� �� ns� /� ���3
Print
its':1
name of owner/agent Signature Date
TOTAL FEES
1
$17.50