HomeMy WebLinkAbout4326 WESTBROOKE DR - PERMITS - 5/6/2005Community Planning &Environmental Services
FEES
Building & Inspections Division BUILDING P E RM I TPERMIT
P.O. Box 580 281 N. College Ave.
Building valuation
Fort Collins, CO 80522-0580
City of Fort Collins phone (970) 221-6760 Fax (970) 224-6134 B 0 5 0 2 0 9 8
$1 + 4 21 0 0
ACCOUNT
FEE
DATE PAID
JOB
SITE ADDRESS 4326 WESTBROOKE DR
PERMIT DATE
05/05/2005
Buildirg Permit uic Subs
$15.0
5/6/06
PERMIT
TYPE
WTRHTR Water Heater
PERMIT LEVEL
{SSU_FUL
CATEGORY TYPE Residential
W
Last Name, First, Middle Initial
HURD, MICHAEL J/SUZANNE L
Construction Type
Occupancy Group
Add4326 WESTBRQQKE DR ctv/Star FART CQLLINS, CO
Uj
O
No. of Stories
Building Height
Zip 80526
Phone No.
226-0172
V
Building Square Footage Stock Plan/Options
0
Front Setback
Rear Setback
0
! •
Z_
Z
Right Side Setback Left Side Setback
• •
Plat File No.
'
ZBA Case Number Zoning District
Subdivision/PUD Filing
(See reverse side for Inspection Description)
F N P
J
WLot
Block Lot Area 4 Parcel No.
9734414046
Name Contractor License No.
OCompany
Address
City/State
H
Z
Phone Supervisor Nrt. No.
V
Electrical License No.
OMechanical
License No.
Roofing
License No.
F-
Z
Framing
License No.
V
NI
Plumbing
KAHAR PLUMBING I HEATING
License No.
MP 37
Concrete
License No.
REPLACE WATER HEATER
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.
name of owner/agent Signature Date
Print
TOTAL FEES
$15.0