HomeMy WebLinkAbout4625 REGENCY DR - PERMITS - 8/4/2003Community Planning & Environmental Services
Building & Inspections Division BUILDING PERMITPERMIT
FEES
P.O. Box 580 281 N. College Ave.
Fort Collins, CO 80522-0580
Building Valuation
City of Fort Collins phone (970) 221-6760 Fax (970) 224-6134 B0305071
ACCOUNT
JOB SITE ADDRESS4625
PERMIT DATE
REGENCY DR
PERMITTYPE PERMIT LEVEL
WTRHTR Water Heater
1J 04 '� �
CATEGORYTYPE
uilhill Permit w/o Subs
7$4.508/4/03
Last Name, First, Middle Initial
ISSU FUL.
Residential
Ity Sales/Use lax
W
Construction Type
Occupancy GroupZ
W
Address
City/State
ounty Sales/Use Tax
Building Height
FORT Ml I INS Co
0 Zip Phone No.
80526 226-5164
Opo.00ries
V
Building Square Footage Stock Plan/Options
Front Setback
Rear Setback
0
• • ••
Z Right Side Setback
Z Left Side Setback
Plat File No.
• ,
ZBA Case Number Zoning District
(See reverse side for Inspection Description)
FYP
Subdivision/PUD
Q
Filing
wLot
J Block
Lot Area
Parcel No.
Company Name
D
Q
Contractor License No.
W Mechanical
H
License No.
Roofing
License No.
I--
ZO Framing
License No.
U
� Plumbing
License No.
N II n
Concrete
Y
License No.
REPLACE WATER HEATER
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 nd void if the work authorized by such permit is notwork. 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 a commenced, suspended, abandoned or inspected within 180 days from the date of sur{t permit or from the date of the last inspection.
A -
Print name of owner/anent
TOTAL FEES $2fl.70