HomeMy WebLinkAbout420 E ELIZABETH ST - PERMITS - 2/11/2005Community Planning & Environmental Services PERMIT FEES
Building & Inspections Division BUILDING P E RM I T
P.O. Box 580 281 N. College Ave. Building Valuation
Fort Collins, CO 80522-0580
City of Fort Collins 89
phone (970) 221-6760 Fax (970) 224-6134 B 0 5 0 0 6 1 6 '
ACCOUNT FEE DATE PAID
JOB SITE ADDRESS 420 E ELIZABETH ST PERMIT DATE 0 / 1 i `G0QJ Building Permit Mho Subs $15.02/11/05
PERMITTYPE WTRHTR Water Heater PERMIT LEVEL ISSU FUL CATEGORY TYPE /Residential
LasLEI6OLbMiddle
MARK C FAMILY TRUST DT Construction Type occupancy Group
Z ress AddCity/Slate— Q LU
No. of Stories Building Height
3 ress WAYNESBORO CT TORT COLLINS, CO p
Zip 80525 Phone No. 267-9066 V Building Square Footage Stock Plan/Options
Z Right Side Setback Left Side Setback
Z
Plat File No. ZBA Case Number Zoning District (See reverse
J Subdivision/PUD Filing F N P
Q
WLot Block Lot Area a Parcel No.
J
9E Company Name I Contractor License No.
Phone
Inspection Description)
tiearicai
License No.
W
Mechanical
License No.
0
Roofing
License No.
H
OFraming
License No.
V
:3
Plumbing
License No.
ALLEN PLUMBING & HEATING
MP 4
Concrete
License No.
INSTALL WATER HEATER f
U
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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 Date I TOTAL FEES
A