HomeMy WebLinkAbout600 S WASHINGTON AVE - PERMITS - 10/19/2004Community Planning &Environmental Services BUILDING PERMITPERMIT
FEES
Building &Inspections Division
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 g 0 4 0 6 51 3
ACCOUNT
FEE
DATE PAID
JOB
SITE ADDRESS
PERMIT DATE
600 S WASHINGTON AVE
10 19 2J04
Building Remit w/o Subs
$15.0
tO J 19 JO4
PERMIT
TYPE
PERMIT LEVEL
CATEGORY TYPE
WTRHTR Water Heater
ISSU_FUL
Residential
Last Name, First, Middle Initial
Construction Type
Occupancy Group
NICHELLE M
Z
Address
City/State
Wp No. of Stories
Building Height
3
600 5 WASHINGTON AVE
FORT COLLINS CO
O
Zip
Phone No.
V Building Square Footage Stock Plan/Options
80521
224-507
Front Setback Rear Setback
0
Z_
Right Side Setback Left Side Setback
• • •
Z
2
Plat File No. ZBA Case Number Zoning District
Subdivision/PUD Filing
(See reverse side for Inspection Description)
F li P
Q
wLot
Block Lot Area Parcel No.
J
0 9714210001
Name Contractor License No.
OCompany
QAddress
City/State
Z
Phone Supervisor Cert. No.
V
Electrical License No.
Mechanical
License No.
Roofing
License No.
F-
Z
Framing
License No.
mPlumbing
License No.
N
T
Concrete
License No.
INSTALL 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 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.
name of owner/agent Signature Date
TOTAL FEES
$15
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