HomeMy WebLinkAbout5102 Madison Creek Dr - Permits - 08/30/2001Community Planning &Environmental Services BUILDING PERMITPERMIT FEES
Building &Inspections Division
P.O. Box 580 281 N. College Ave. Building Valuation
Fort Collins, CO 80522-0580 289000
Cityof F phone (970) 221-6760 Fax (970) 224-6134 g 010 5 5 Q
]ACCOUNT FEE DATE PAID
JOB SITE ADDRESS 5102 MADISON CREEK DR PERMIT DATE 0£3/30/200 1 Building Permit u/ Subs $15.00 8/30/01
PERMITTYPE PERMIT LEVEL CATEGORY TYPE
SPKLR-R Residential Sprinkler System ISSU_FUL RESIDENTIAL
Last Name, First, Middle Initial Construction Type Occupancy Group
Z
GUST. TERI
Address
City / State
Wp No. of Stones
Building Height
3
5102 MADISON CREEK DR
FORT COLLINS. CO
O 0
1 0
0
Zip
Phone No.
Building Square Footage
Stock Plan/Options
80528
1 204-0978
n
SPK
0 1 8605324030
Cie
O
Mechanical
License No.
V
Roofing
License No.
Z
01
Framing
License No.
cn
rn
Plumbinq
License No.
INSTALL SPRINKLER SYSTEM
INSTALLED BY ABS SERVICES, 300 DUNNE DR, FC 80525 2-25-0479
PLUMBING STUBBED OUT AT TIME OF CONSTRUCTION
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FCLWD
reverse
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 not inspected within 180 days from the date of such permit or from the date of the last inspection.
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Print name of owner/agent Signature Date TOTAL FEES $1