HomeMy WebLinkAbout118 S WHITCOMB ST - PERMITS - 7/8/2003�Community Planning & Environmental Services
Building & Inspections Division
P.O. Box 580 281 N. College Ave.
Fort Collins, CO 80522-0580
city of Fort Collin phone (970) 221-6760 Fax (970) 224-6134
JOB SITE ADDRESS118 S WHITCOMB ST
PERMIT TYPE
PLUM Plumbing Alteration
Last Name, First, Middle Initial
KALEY, LANE C(ANN E
Z Address City/State
1900 BEAR CT FORT COLLI
Zip Phone No.
80525 482-0774
Front Setback
Rear Setback
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Right Side Setback Left Side Setback
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Plat File No.
ZBA Case Number Zoning
J
Subdivision/PUD
Filing
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Lot
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Block Lot Area
Parcel
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OCompany
Name
Contractor License No.
Address
City/State
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Phone Rnnarvianr f:crT Nn
No.
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mecnanicai
License No.
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Roofing
License No.
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Framing
License No.
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Plumbing
License No.
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Concrete
License No.
No.
BUILDING PERMIT
Building Valuation
I-BO304157ACCOUNT
PERMIT DATE
01/08/2003 ui!ding Permit w/o Subs
.EVEL CATEGORY TYPE
ISSU_FUL Residential
Construction Type foccupancy Group
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uilding Square Footage I Stock Plan/options
(See reverse side for Inspection Description)
RP GL FNP
REPLACE WATER LINE FROM METER TO HOUSE (PLUMBING DONE BY BERSHiNSKY)
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 Dates TOTAL FEES
FEE I DATE PAID I
$15.00 1 1/8/03
$15.00