HomeMy WebLinkAbout697 HANNA ST - PERMITS - 6/24/2003Community Planning & Environmental Services PERMIT
Building & Inspections Division BUILDING PERMIT
P.O. Box 580 281 N. College Ave. Building Valuation
Fort Collins, CO 80522-0580 1500.00
City of Fort Collins phone (970) 221-6760 Fax (970) 224-6134 B 0 3 0 3 8 8
ACCOUNT FEE DATE. PAID
JOB SITE ADDRESS697 HANNAST PERMIT DATE 06/24/2003 Iluilding Permit w/o Subs $15.00 6/24/03
PERMIT TYPE PERMIT LEVEL CATEGORY TYPE
WTRHTR Water Heater ISSU_FUL Residential
Last Name, First, Middle Initial Construction Type Occupancy Group
VAN WOERKOK CHRIS
w w
Address City/State No. of Stories Building Height
Z pO
3 8002 S HILLSBORO FORT COLLINS. CO
V Building S Footage Stock Plan/Options
O Zip Phone No. 9 Square q 9
80521 1 218-8320
Front Setback Rear
Setback
REQUIRED INSPECTIONS
TO SCHEDULE INSPECTIONS
Z
Z
Right Side Setback Left
Side Setback
2
(See reverse side for Inspection Descriptions
Plat File No.
ZBA Case Number
Zoning District
F I1 P
Subdivision/PUD
Filing
J
Q
wLot
Block
Lot Area
0
Parcel No.
9710120014
OCompany
Name
Contractor License No.
QAddress
City/State
dl—
Z
O
Phone
Supervisor Cert. No.
V
Electrical
License No.
ar
Mechanical
License No.
URoofing
License No.
~
Z
Framing
License No.
mPlumbing
License No.
N
r._ra
License No.
REPLACE WATER HEATER
w
H
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 daysfrom the date
of such permit or from the date of the last inspection.
Puy& -TOTAL FEES $15.t�t1
Print name of owner/agent Signature Date