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HomeMy WebLinkAbout4128 SUMTER SQ - PERMITS - 1/1/2000Community Planning & Environmental Services BUILDING PERMIT Building Permits & Inspections Division P.O. Box 580 cltvefF Fort Collins, CO 80522-0580 221 6769 JOB SITE ADDRESS 4,28 SUMTER S{ 80525 F Permit Type Work Type Category TYPE MECHANICAL ALTFRATION SINGLE FAMILY DFI ACHFD ty Proposed Use RESIDENTIAL Use Zone Permit Level FULL/FINAL. J Subdivision ❑ PUD FilingPERMIT FEES < Subdivision/PUD Building Valuation W J 1000 Lot Block Parcel Na.E ACCOUN't''-,;� L°EE �'ee4;E I3/fliE'Pi Last First M.I. HAFERMAN LEONARD LG PERMIT FLAT 15.(ET 0��0 9904 Z pE3D 4u 11; uALE&;,USE TA .' 1ro'A. .V •,9904 Address City 3 4128 SUMTER S(� FORT COL.L.INS Opp tT SA M'TAX1k46 904' O e Z p 80525 Phone No. 223--2547 W o Com Name ALf3F7ACHT/K&O HEATING & AC Con trodor License No. H-824 �� r • adI`s! W EISENHOWER City LOVFI AND Stafa ('O 80537 Phona224-5756 Sales Tax Na. he ce Occupancy Load Occupancy Set 3 No. of Dwelling Units No. of Bedrooms u O o MRNACE RETROFIT o_ a U N W LEFT SETBACKS REAR FRONT RIGHT I TO SCHEDULE INSPECTIONS (See reverse side for Inspection Description) GL I FNM I SPI __ . _ ,a�i ; ; - CONTRACTORS 0991510 RIL 13, 1999 ULPARTtN�NT •' S7ATus _' "DAiE Elect As a condition for the issuance of a permit, I hereby declare that I am an owner or the 0 F C PERMIT 1 SS N/ A owner's agent, authorized to perform the proposed work on the property described herein. I agreg to comply with all the requirements contained herein, and City ordinances, and State Mechanical laws associated with such work I understand that such permit may be revoked in the event N/A that issuance was based on incorrect information. This permit shall become null and void if Plumbing the work authorized by such permit is not commenced, suspended, abandoned, or not N/A inspected within 180 days from the date of such permit. Roofing N/A Signature Date