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HomeMy WebLinkAbout4130 WARBLER DR - PERMITS - 5/14/2004Community Planning & Environmental Services Building & Inspections Division i 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 4130 WARBLER DR PERMIT TYPE PER WTRHTR Water Heater Last Name, First, Middle Initial SANCH RAYMONDJR W Address City/State 4130 WARBLER DR FORT COLLINS, t 0 Zip Phone No. 80526-3678 377-M Front Setback Rear Setback eft Side Setback Z_ Right Side Setback L Z 2 Plat File No. ZBA Case Number Zoning District J Q WLot Block Lot Area Parcel No. J � Comoanv Name Contractor License No. Address Phone License No. BUILDING PERMIT Building Valuation 13040302 ACCOUNT PERMIT DATE 05 14 2004 Building Permit w/o Subs RMIT LEVEL CATEGORY TYPE ISSU_FUL Residential = 01 Mechanical License No. H Roofing License No. Z Framing License No. v m Plumbing License No. Z) N PI 1111BING I HEATING MP A ncr Coete License No. INSTALL WATER HEATER wQ No. of Stories Building Height OBuilding Square Footage Stock Plan/Options (See reverse side for Inspection Description) FNP 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.. FEE DATE PAID $15.0 5/14/04 name of owner/agent Signature Date TOTAL FEES $1