HomeMy WebLinkAbout4812 Langdale Ct - Permits/Water Heater - 05/23/2001AdlaCommunity Planning & Environmental Services BUILDING PERMITPERMIT FEES
k Building & Inspections Division
P.O. Box 580 281 N. College Ave. Building valuation
Fort Collins, CO 80522-0580� QQ
CitvofF�� Phone (970) 221-6760 Fax (970) 224-6134 Bat 02721
JOB SITE ADDRESS 4812 LANGDALECT PERMITDATE 05/23/2001 luilding Permit w/o Subs $15.00 5/23/01
PERMIT TYPE WTRHTR Water Heater PERMIT LEVEL ISSU_FUL CATEGORY TYPE RESIDENTIAL
Last Name, First, Middle Initial Construction Type occupancy Group
ENGEL, PEDRO F
Z Address City / St to p No. of Stories Building Height
4812 LANGDALE CT SORT OOLLINS. CO O
Zip Phone No. Building Square Footage Stock Plen/Options
80526;3945 0
Front Setback Rear Setback
REQUIRED•
C9
Z Right Side Setback Left Side Setback CALL 221-6769
Z TO SCHEDULE INSPECTIONS
Plat File No: ZBA Case Number zoning District (See reverse side, or Inspection Description) �-
SubdivisiondPLID Filing F N P
Q
w Lot Block Lot Area O ParcelNo96D2210082
J
OCompany Name Contractor License No.
V
a Address City/State
Od Phone Supervisor Cart. No.
V
Electrical License No. +�
GMechanical License No.
Roofing License No. `
Z
0 Framing License No.
ca
N Plumbing License No.
ALLEN PLUMBING 8 HEATING MP-4
WATER HEATER REPLACEMENT
described herein. I agree to comply with all City ordinances, and State laws associated with such work. I understand that such permit proposed work in the property
As a conditio for the issuance of a permit, I hereby declare that I am an owner or the owner's agent, authorized to perform the
I g p y ty p 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 not inspected within 180 days from the date of such permit or from the date of the last inspection.
Print name of owner/agent Signature Date