HomeMy WebLinkAbout613 S COLLEGE AVE - PERMITS - 7/8/2005Community Planning &Environmental Services
PERMIT
MMMR
Building & Inspections Division BUILDING PERMIT'
FEES
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 B0503051
ACCOUNT
FEE
DATE PAID
SITE ADDRESS PERMIT DATE
JOB
613 SCOLLEGEAVE o /,, f-
Building Pernit w/o Subs
$56.50
7/6/05
PERMIT
TYPE PERMIT LEVEL CATEGORY TYPE
WTRHTR Water Heater ISSU FUL I Non Res Bldg Const
Last Name, First, Middle Initial Construction Type Occupancy Group
w
Address City/State wp No. of Stories Building Height
O
O
Zip 80223-3912 Phone No. Building Square Footage Stock Plan/Options
Front Setback
Rear Setback
N •
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 F
Q
wLot
Block Lot Area Parcel No.
d U1411401fi
Name Contractor License No.
OCompany
Address City/State
OPhone
Supervisor Cert. No.
V
Electrical License No.
OMechanical
License No.
Roofing License No.
0
Framing License No.
Plumbing License No.
N
i t n r n
Concre a License No.
REPLACE COMMERCIAL WATER HEATER (BTU 154) WITH A 120 BTU FOR CANINO-S RESTAURANT
I—
V
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 TOTAL
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