HomeMy WebLinkAbout930 DRIFTWOOD DR - PERMITS - 11/22/2004Community Planning & Environmental Services
Building & Inspections Division
�
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
PERMIT TYPE PER
Last Name, Fir t,Water Heater
i I i a
D'
Z Addr FEHAN. City/State
3
O Zip 9seDRIFfW00D DR Phone No.
Fron Rear Setback
Z
Right Side Setback Left Side Setback
Z
Plat File No. ZBA Case Number Zoning Di:
Subdivision/PUD
Filing
a
WLot
J
Block Lot Area
Parcel No.
95
Company Name
I Contractor License No.
Address
Phone
Electrical
License No.
W
10
Mechanical
License No.
URoofing
H
License No.
ZZ
Framing
License No.
V
m
Plumbing
License No.
N
Con t CREEK PtUMBINGLicense
No.
INSTALL 50 GALLON GAS WATER HEATER
BUILDING PERMIT
Building Valuation
8040713 ACCOUNT
PERMIT DATE
EVEL CATEGORY TYPE building Permit w/o Subs
on tr c n Type Occupancy Group City Sales/Use Tax
wp No. of Stories Building Height County Sales/Use Tax
OBuilding Square Footage I 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
$15.0 11/22/04
$4.5 11/22/04
$1.2 11/22/04
Print name of owner/agent
Signature
Date
TOTAL FEES