HomeMy WebLinkAbout925 COLUMBIA RD - PERMITS - 2/11/1999Community Planning & Environmental Services SETBACKS
Building Permits & Inspections Division BUILDING PERMIT REAR
ro. Box sso 221-6769
Cityof Port Collins o '
lli
Fort Cons, 1- ova 2�(1580
JOB SITE ADDRESS 925 COLUMBIA RD 121
Permit Type work Type
WATER HEATER NEW
y, Proposed Use Use Zone
a FOURTEEN OR MORE FAMILY BLDG
Subdivision PUD Filing
J
� Subdivision/PUD Buildir
WAWR7_YNSKI: CAROLINE
Z Address Cip
920 SUN VALLEY DR WC
O $dale Zip Phone No.
(,U 80863
ALCWOPl UMBING R HEATING contmaor
PO BOX 567 cityFT COLLINS
Phone484-4841 1
Soh
sc Occupancy Load Vccuponcy Separation
ac
0
3 No. of Dwelling Unih No. of Bedrooms No.
LL 0
O
o MiATER HEATER REPLACEMENT
0
p_
a
u
N
w
PARK
Permit Dole
0990532 FEBRUARY 11, 1999
0
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 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.
I FAMILY DWELLING
636
OTC
L.
FRONT
RIGHT
TO SCHEDULE INSPECTIONS
(See reverse side for Inspection Description)
FNP
ISS N/A
-'x Mechanical
N/A
---- Plumbing II
N/A
ISignature Dote