HomeMy WebLinkAbout2130 Eastwood Dr - Permits/Sprinkler - 09/07/2001Cor}'tmunity Planning &Environmental Services g U l LV 1 ill G P E RM M TPERMIT FEES
Building & Inspections Division
P.O.. Box 580 281 N. College Ave. Building Valuation
Fort Collins, CO 80522-0580
cerorF�rt�Collins Phone (970) 221-6760 Fax (970) 224-6134 B0105721
ACCOUNT FEE DATE WAND'
JOB SITE ADDRESS 2130 EASTWOODDR PERMIT DATE 09/07/200 1 Building Permit III Subs $15.00 9/1101
PERMIT TYPE SPKLR-R Residential Sprinkler System PERMIT LEVEL ISSU_FUL CATEGORY TYPE RESIDENTIAL
Last fame, First, Middle I11tia__l Con6truction Type' Occupancy Group
STARKE. MA-t7HEW M
Z Address city / State a No. of Stories Building Height
2130 EASTWQOD DR FORT COLLINS, CO O
O Zip 80525-2004 Phone No. Build ng Square Foolage Stock Plan/Options
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Front Setback Rear Setback
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Z Right Side Setback Left Side Setback
Z 0 lielm Up luffill 4 vmj•
2 Plat File No. ZBA Case Number Zoning District (See reverse side for Irpspection Description
Subdvision/PUD Filing S P NI
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wLot Block Lot Area Parcel No.
0 8719410253
OCompany Name Contractor License No.
Address City/State
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OPhone Supervisor Cert. No.
V
Electrical License No.
�G� Mechanical License No. ,
VRooting License No.
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0 Framing License No.
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Plumbing License No.
AA PLUMBING MP-241
Concrete License No.
SPRINKLER INSTALLED BY LAWN PATROL. PO BOX 271912, FORT COLLINS. 90 80527-1912. 4707-8520.
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 aythorized 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 TOTAL FEES $15.00