HomeMy WebLinkAbout925 COLUMBIA RD - PERMITS - 9/1/1992DEVELOPMENT SERVICES/BUILDING PERMITS & INSPECTIONS DIVISION
P.O. BOX 580, FORT COLLINS, CO 80522-0580
221-6769
BUILDING PERMIT
JOB SITE ADDRESS
E H Permit Type
WATER HEATER
Proposed Use
rnlJn Trrk. nn MMOC CA.
II�
Subdivision I i PUD
& P
Square Footage
. IN Dwelling Units I No. of Badr
it:
REPLACE WATER HEATER
Case
MGMT
of
Separation
As a condition for the issuance of a permit, i hereby declare that 1 am an owner
or the owner's agent, authorized to perform the proposed work on the property
described herein. 1 agree to comply with all the requirements contained herein,
and 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
information. This permit shall become null and void if the work authorized by
such permit is not commenced, suspended, abandoned, or not inspected within
180 days from the date of such permit.
Building valuation
230
ACCOUNT FEE DATE PAID
SLOG PERMIT FLAT 15.00
-
`CITYS'AL`ES "USE `TA- ' _ - 0. 00 V
TOTAL FEES i c An
c.otainment
DEPARTMENT STATUS "DATE
UIC PE
Ele
Me
v SITE SETBAC
REAR
LEFT
FRONT
st.
RIGHT
CALL 221-6769
TO SCHEDULE INSPECTIONS
(See reverse side for
Inspection Description)
FNP
$15.00
$15.00