HomeMy WebLinkAbout679 MANSFIELD DR - PERMITS - 9/23/2005Community Planning &Environmental Services BUILDING PERMIT
Building & Inspections Division
P.O. Box 580 281 N. College Ave.
Building Valuation
Fort Collins, CO 80522-0580
CityofFort Collins
9.00
phone (970) 221-6760 Fax (970) 224-6134 B0505552
Aecouilcr
FEE
QA' pAiQi
JOB
SITE ADDRESS 679 MANSFIELDDR
PERMIT DATE 09/23/2005
Building Persit w/o Subs
$15.0
9/23/05
PERMIT
TYPE
WTRHTR Water Heater
PERMIT LEVEL
ISSU_FUL
CATEGORY TYPE
ResidentiaJI
Last Name, First, Middle Initial
Construction Type
Occupancy Group
or
CHRISTENSON, GLORIA J
w
Address
City/State
LLJ
in No. of Stories
Building Height
679 MANSFIELD DR
FORT COLLINS, CO
o
V
O
Phone
zip 80525
No.
225-0329
Building Square Footage Stock Plan/Options
Front Setback Rear
Setback
,
Z
Right Side Setback Left Side Setback
• • •
Plat File No. ZBA Case Number Zoning District
(See reverse side for Inspection Description)
Subdivision/PLID Filing
F N P
g
wLot
Block Lot Area 0 Parcel No.
9725413016
Name Contractor License No.
OCompany
City/State
QAddress
F
Z
Phone Supervisor Cert. No.
V
Electrical License No.
W
Mechanical
License No.
Roofing
License No.
H
Framing
License No.
ZZ
m
=)
Plumbing
License No.
V)
AMERICAN SERVICES. INC
MP 315
Concrete
License No.
REPLACE 40 GALLON GAS 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
TOTAL FEES
$16,
Print