HomeMy WebLinkAbout1812 Bangor Ct - Permits/Water Heater - 03/08/20047
Community Planning &Environmental Services B lJ l LD I N G P E RM I T
PERMIT FEES
Building & Inspections Division
memo"P.O. Box 580 281 N. College Ave.
im
Building Valuation
-
Fort Collins, CO 80522-0580
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City of Fort Collins Phone (970) 221-6760 Fax (970) 224-6134 B0401177.
ACCOUNT
FEE
DATE PAID
JOB
SITE ADDRESS 1812 BANGORCT
PERMIT DATE
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PERMIT
TYPE
WTRHTR Water Heater
PERMIT LEVEL
ISSU_FUL
CATEGORY TYPE
Residential,
Last Name, First, Middle Initial
Construction Type
Occupancy Group
Ce
VILLESCaAS MARIA
Address
City/State
w
p No. of Stories
Building Height
w
3
1812 BANGOR CT
FORT COLLINS. CO
V
Zip
Phone No.
Building S Footage
9 Square
g 9
Stock Plan/Options
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80526-1258
484-4197
Front Setback
Rear Setback
p
0
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Right Side Setback
Left Side Setback
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(See reverse side for Inspection Description)
C h
Plat File No. ZBA Case Number
Subdivision/PLID
Zoning District
Filing
_
Q
wLot
Block Lot Area Parcel No.
0 ioj1210 n
Name Contractor License No.
OCompany
V
Address City/State
H
Z
O
Phone Supervisor Cert. No.
Electrical License No.
Mechanical
License No.
0
URoofing
License No.
H
License No.
OFraming
m
Plumbing
License No.
Concrete
License No.
50 GALLON GAS WATER HEATER
LITALL
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.
Print
name of owner/agent Signature Date
TOTAL FEES
$20 7