HomeMy WebLinkAbout616 CHERRY ST - PERMITS - 10/26/2005Community Planning &Environmental Services BUILDING PERMITPERMIT FEES 17
Building & Inspections Division
P.O. Box 580 281 N. College Ave. Building Valuation
Fort Collins, CO 80522-0580 $2,914.00
City of Fort Cousins phone (970) 221-6760 Fax (970) 224-6134 B 0 5 0 6 3 5 7
ACCOUNT FEE DATE PAID'
JOB SITE ADDRESS 616 CHERRYST PERMIT DATE 10/26/2005 Building Persit w/o Sub $15. 0 10/26/0
PERMIT TYPE WTRHTR Water Heater PERMIT LEVEL ISSU_FUL CATEGORY TYPE Residenti
Last Name First Middle Initial I I Construction Type I Occupancy Group
LUBBER NORMAN LEROY
LU
Address
2770 S EMERSON ST
City/State
I ENGLEWOOD, CO
O
Zip
Phone No.
80110
Front Setback
Rear Setback
0
Z
Right Side Setback Left Side Setback
Z
Plat File No. ZBA Case Number Zoning District
Subdivision/PUD riling
J
Q w Lot Block Lot Area Parcel No. 9711218028
J
Comoanv Name I Contractor License No.
Address
H
Z Phone
V
Electrical
p� Mechanical
O
Roofing
F—
ZZ Framing
V
jPIbi
umHRHi
rn
Concrete
Is
PLUMBING I HEATING
REPLACE WATER HEATER
City/State
License No.
License No.
License No.
MP 15
License No.
0 No. of Stories
0
O
Stock Plan/Options
(See reverse side for Inspection Description)
FNP
As a condition for the issuance of a permit, I hereby declare that I am an owner or the owner's agent, authorized to perform the proposed work on the property
described herein. I agree to comply with all City ordinances, and State laws associated with such work. I understand that such permit may be revoked in the
event that issuance was based on incorrect or incomplete information. This permit shall b ome null and void if the work authorized by such permit is not
commenced, suspende , ab doped or inspected within 180 m the date of su h d$ ermit or rom the date of the last inspection.
(um 10 Sr
Prih name of ner gent Si na re Date