HomeMy WebLinkAbout7 OLD TOWN SQ - PERMITS - 4/25/2005Community Planning & Environmental Services
Building & Inspections Division
P.O. Box 580 281 N. College Ave.
Fort Collins, CO 80522-0580
City ofFort cons phone (970) 221-6760 Fax (970) 224-6134
JOB SITE ADDRESS 7 OLD TOWN SQ
PERMIT TYPE PER
WTRHTR Water Heater
Last Name, First, Middle Initial
BUILDING PERMIT
Building Valuation
B0501876 ACCOUNT
PERMIT DATE
04/25/20015 Building Permit w/o Subs
RMIT LEVEL CATEGORY TYPE
ISSU_FUL Residential
Construction Type I Occupancy Group
U
r—M%A3tSCOOIVC VL.LU I UYVIV
Address
City/State
Wp No. of Stories
Building Height
Z
3
5 OLD TOWN SQUARE 216
FORT COLLINS, CO
0
Zip
Phone No.
V Building Square Footage Stock Plan/Options
80524
493-1910
Front Setback Rear Setback
0
_Z
Right Side Setback Left Side Setback
• • •
Z
N
Plat File No. ZBA Case Number
Zoning District
(See reverse side for Inspection Description)
f N P
J
Subdivision/PUD
Filing
Q
WLot
Block
Lot Area
Parcel No.
J
1 0
1 9712308010
915
Company Name
I Contractor License No.
Address
Phone
License No.
=
Mechanical
License No.
CRoofing
License No.
H
OFraming
License No.
V
m
Plumbing
License No.
N
Al I C1 DI IIMOT1P D LICATT10
Mn A
Concrete I License No
INSTALL (2) ELECTRIC WATER HEATERS
8
I -
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 I DATE PAID
$15.0 4/25/05
Print name of owner/agent
Signature
Date I TOTAL FEES
$1